Active NPI
Gladys Perez, M.D.
- Family Medicine Physician
- Port Charlotte, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- ME58745
- Practice address
- 2315 Aaron St
Port Charlotte, FL 33952-5305 - Phone
- (941) 979-5700
- Fax
- (941) 613-1387
- NPI assigned
- Sep 20, 2005
- Sex
- Female
- 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 | ME58745 | FL | Primary |
Addresses
Primary practice location
2315 Aaron St
Port Charlotte, FL 33952-5305
Mailing address
19531 Cochran Blvd
Port Charlotte, FL 33948-2081
Phone (941) 255-3535
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11559 | Other | FL | BLUE CROSS AND BLUE SHIEL |
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
- Internal Medicine
- Education
- Medical College of Wisconsin, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
19531 Cochran Blvd
Port Charlotte, FL 33948-2081
Phone (941) 255-3535
21298 Olean Blvd
Port Charlotte, FL 33952-6705
Phone (941) 629-1181
6101 Pine Ridge Rd
Naples, FL 34119-3900
Phone (239) 649-3312
Hospital & facility affiliations
- Amedisys Home Health
- Adventhealth Port Charlotte
- HCA Florida Fawcett Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME58748 | FL | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Millennium Physician Group LLC | Family Medicine | Current | Accepting new patients |
| Millennium Physician Group LLC | Family Medicine | Current | Accepting new patients |
| National Medical Affiliates Inc | Past | Accepting new patients |
Locations
350 7th St N
Naples, FL 34102
Phone (239) 436-5000
8300 Collier Blvd
Naples, FL 34114
Phone (239) 354-6000
3434 Hancock Bridge Pkwy
North Ft Myers, FL 33903
2351 Aaron St
Port Charlotte, FL 33952
Phone (855) 674-7500
2315 Aaron St
Port Charlotte, FL 33952
Phone (941) 613-2222
19531 Cochran Blvd
Pt Charlotte, FL 33948
Phone (941) 255-3535
2343 Aaron St
Pt Charlotte, FL 33952
Phone (855) 979-5700
809 E Marion Ave
Punta Gorda, FL 33950
Phone (941) 625-1951
Networks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
Organizations & group practices 3
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.
-
- Family Medicine Physician
- Fort Myers, FL
- NPI 1811122880
-
- Family Medicine Physician
- Brooksville, FL
- NPI 1073131702
-
- Internal Medicine Physician
- Punta Gorda, FL
- NPI 1811984529
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Port Charlotte, FL
- NPI 1760299093
-
- General Acute Care Hospital
- Port Charlotte, FL
- NPI 1417901406
-
- Home Health Agency
- Port Charlotte, FL
- NPI 1043392038
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127174400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1321315200000",
"number": "1245225895",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19531 COCHRAN BLVD",
"city": "PORT CHARLOTTE",
"state": "FL",
"postal_code": "339482081",
"telephone_number": "941-255-3535",
"fax_number": "941-743-2121"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2315 AARON ST",
"city": "PORT CHARLOTTE",
"state": "FL",
"postal_code": "339525305",
"telephone_number": "941-979-5700",
"fax_number": "941-613-1387"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEREZ",
"first_name": "GLADYS",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-09-20",
"last_updated": "2011-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "ME58745",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS AND BLUE SHIEL",
"identifier": "11559",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Port Charlotte, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2011; 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.