IndividualActive
Cecilia Perera
NPI 1154623379 · Periodontics · Clearwater, FL
Provider details
- NPI number
- 1154623379
- Entity type
- Individual
- Primary specialty
- PeriodonticsDental Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 30023354 (OH)
Specialties & taxonomies
Dental Providers
Dental Providers
Practice location
13501 Icot Blvd Ste 101
Clearwater, FL 33760-3729
Phone: (813) 407-3338
Approximate (ZIP-level) locationGet directions
Mailing address
13800 Veterans Way
Orlando, FL 32827-7403
Registry dates
- Enumerated
- 2010-11-19
- Last updated
- 2024-02-22
- Certified
- 2023-10-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.