Organization Active NPI

MD on the Go PCP LLC

  • Internal Medicine Physician
  • Port Charlotte, FL
National Provider Identifier
1770329450
Registry record updated Jul 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
MD ON THE GO PCP LLC
Practice address
1825 Tamiami TRL Ste 1100
Port Charlotte, FL 33948-1077
Phone
(914) 488-4839
NPI assigned
Jul 2, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2025

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

Authorized official

Name
Mr. Alejandro David Perez
Title
Administrator
Phone
(201) 895-2091

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

1825 Tamiami TRL Ste 1100
Port Charlotte, FL 33948-1077

Mailing address

1825 Tamiami TRL Ste 1100
Port Charlotte, FL 33948-1077
Phone (561) 202-3572

Other names 1

  • N/A Other name

National Provider Directory

National Provider Directory

Locations

1825 Tamiami Trl
Ste 1100
Port Charlotte, FL 33948
Phone (914) 488-4839

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1719878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751500800000",
    "number": "1770329450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1825 TAMIAMI TRL STE 1100",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339481077",
            "telephone_number": "561-202-3572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1825 TAMIAMI TRL STE 1100",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339481077",
            "telephone_number": "914-488-4839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MD ON THE GO PCP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-02",
        "last_updated": "2025-07-03",
        "certification_date": "2025-06-06",
        "status": "A",
        "authorized_official_last_name": "PEREZ",
        "authorized_official_first_name": "ALEJANDRO",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "201-895-2091",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "N/A",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "N/A",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Jul 3, 2025; 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.