Edgar De Jesus Florido Perez, SA-C

Primary specialty

Surgical AssistantTaxonomy code 246ZC0007X

License

17-280 Issued in FL

Practice address

17000 SW 93Rd St Apt 11-304
Miami, FL 33196-1081

Phone

(786) 644-9235

NPI assigned

Jul 24, 2023

Last updated

Jul 24, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1690156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690156800000",
    "number": "1053091009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17000 SW 93RD ST APT 11-304",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331961081",
            "telephone_number": "786-644-9235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17000 SW 93RD ST APT 11-304",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331961081",
            "telephone_number": "786-644-9235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLORIDO PEREZ",
        "first_name": "EDGAR",
        "middle_name": "DE JESUS",
        "credential": "SA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-07-24",
        "last_updated": "2023-07-24",
        "certification_date": "2023-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "FL",
            "license": "17-280",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Floridian Medical Equipment
• Floridian Physicians
• Floridian Physicians Management
• Floridian Physicians Solutions, LLC
• Floridian Podiatry Services, Inc
• Solange Delacaridad Florido
• Florika Therapy Center Corp
• Florimed Medical Center Corp (Florimed Medical Center Pharmacy)
• Mirta Florin, M.D.
• Ariel Flotte

• Surgical Assistant in Miami, FL
• Providers in Miami, FL by specialty
• Surgical Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.