Individual provider Active NPI

Donna Bolton Perez, PA-C, CWS

  • Physician Assistant
  • Plantation, FL
National Provider Identifier
1457377368
Registry record updated Jan 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9101819 Issued in FL
Practice address
8320 W Sunrise Blvd
Suite 109
Plantation, FL 33322-5435
Phone
(954) 424-6377
Fax
(954) 424-2031
NPI assigned
Jul 14, 2006
Last updated
Jan 30, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9101819 FL Primary

Addresses

Primary practice location

8320 W Sunrise Blvd
Suite 109
Plantation, FL 33322-5435

Mailing address

662 NW 90TH Ter
Plantation, FL 33324-1186
Phone (305) 431-7861

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA9101819FLMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Neurological Treatment Centers Inc Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201651200000",
    "number": "1457377368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "662 NW 90TH TER",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333241186",
            "telephone_number": "305-431-7861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8320 W SUNRISE BLVD",
            "address_2": "SUITE 109",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333225435",
            "telephone_number": "954-424-6377",
            "fax_number": "954-424-2031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "DONNA",
        "middle_name": "BOLTON",
        "name_prefix": "Mrs.",
        "credential": "PA-C, CWS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-14",
        "last_updated": "2008-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9101819",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plantation, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2008; 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.