Gerimed 2000 LLC

Primary specialty

Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X

License

ME0061377 Issued in FL

Legal business name

GERIMED 2000 LLC

Doing business as

Village Family Clinic

Practice address

5330 Ehrlich Road
Suite 138
Tampa, FL 33624-6975

Phone

(803) 908-5000

Fax

(813) 908-5030

NPI assigned

Mar 14, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Oscar Perez, MD

Title

Owner/Medical Director

Phone

(813) 918-5000

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Village Family Clinic Doing business as

Locations

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

{
    "created_epoch": "1205452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586736000000",
    "number": "1265603591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5330 EHRLICH ROAD",
            "address_2": "SUITE 138",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336246975",
            "telephone_number": "803-908-5000",
            "fax_number": "813-908-5030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5330 EHRLICH ROAD",
            "address_2": "SUITE 138",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336246975",
            "telephone_number": "803-908-5000",
            "fax_number": "813-908-5030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GERIMED 2000 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-14",
        "last_updated": "2020-04-13",
        "certification_date": "2020-04-13",
        "status": "A",
        "authorized_official_last_name": "PEREZ",
        "authorized_official_first_name": "OSCAR",
        "authorized_official_title_or_position": "OWNER/MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "813-918-5000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "FL",
            "license": "ME0061377",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OSCAR NPI",
            "identifier": "1124022546",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OSCAR M.D. LICENSE",
            "identifier": "ME0061377",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "265467900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Village Family Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Village Family Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mary Gerges, RPH
• H John Gerhard, MD
• Geriatric Healthcare Center Inc
• Michael Scott Geric, D.M.D, M.S.
• Gericare, Inc.
• Ronald D Gerlach, CRNA
• Suzanne West Gerlach, ARNP
• Peter Paul Gerley, M.D.
• David Jacob Germain, MD
• Patricia Sue Germain, OTR/L

• Geriatric Medicine (Family Medicine) Physician in Tampa, FL
• Providers in Tampa, FL by specialty
• Geriatric Medicine (Family Medicine) Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2020; 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.