Active NPI
Angel Arturo Perez Sori, MD
- Family Medicine Physician
- Tampa, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- ME 121644
- Practice address
- 3010 W Azeele St Ste 100
Tampa, FL 33609-3577 - Phone
- (813) 251-0194
- Fax
- (813) 254-0279
- NPI assigned
- Oct 27, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | ME 121644 | FL | Primary |
Addresses
Primary practice location
3010 W Azeele St Ste 100
Tampa, FL 33609-3577
Mailing address
3010 W Azeele St Ste 100
Tampa, FL 33609-3577
Phone (813) 251-0194
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 014806300 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1345 W Bay Dr
202 Optum Largo
Largo, FL 33770-2276
Phone (727) 559-0895
3010 W Azeele St
100 Optum Hyde Park
Tampa, FL 33609-3577
Phone (813) 251-0194
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME 121644 | FL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Optumcare Florida, LLC | Current | Accepting new patients | |
| Optumcare Florida LLC | Family Medicine | Current | Accepting new patients |
| Optumcare Florida Ci, LLC | Past | Accepting new patients | |
| LBH Med Group LLC | Past | Accepting new patients |
Locations
1345 West Bay Dr
Ste 202
Largo, FL 33770
Phone (727) 559-0895
10051 5th St N
Ste 200
St Petersburg, FL 33702
Phone (727) 286-4093
3010 W Azeele St
Ste 100
Tampa, FL 33609
Phone (813) 251-0194
Networks
- Freedom Health HMO Network
Interoperability endpoints
- angel.perezsori@wellmed.eclinicaldirectplus.com
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Health Service Clinic/Center
- Pinellas Park, FL
- NPI 1669757738
-
- Hospitalist Physician
- Tampa, FL
- NPI 1659884294
-
- Health Service Clinic/Center
- Pinellas Park, FL
- NPI 1639620651
-
- Primary Care Clinic/Center
- Winter Park, FL
- NPI 1720506603
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1319673600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1630454400000",
"number": "1124304746",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3010 W AZEELE ST STE 100",
"city": "TAMPA",
"state": "FL",
"postal_code": "336093577",
"telephone_number": "813-251-0194",
"fax_number": "813-254-0279"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3010 W AZEELE ST STE 100",
"city": "TAMPA",
"state": "FL",
"postal_code": "336093577",
"telephone_number": "813-251-0194",
"fax_number": "813-254-0279"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEREZ SORI",
"first_name": "ANGEL",
"middle_name": "ARTURO",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-10-27",
"last_updated": "2021-09-01",
"certification_date": "2021-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "ME 121644",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "014806300",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.