Elvira Esther Perez Perez, MD
Individual provider Active NPI General Practice Physician · Ocala, FL
NPI 1902139587 · NPPES record last updated Jun 5, 2023
Key facts
- NPI
- 1902139587
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Physician 208D00000X
- License
- ACN464 (FL)
- Practice address
- 11100 SW 93Rd Court Rd Ste 14
Ocala, FL 34481-5188 - Phone
- (352) 509-6918
- Fax
- (352) 509-6937
- NPI assigned
- Sep 14, 2009
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in PR, FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120309000076 | PR | Practitioner - General Practice | 7618136722 | Reassigns benefits to 1 organization |
| I20230614000121 | FL | Practitioner - General Practice | 7618136722 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ACN464 | FL | MD | General Practice Physician |
| 17647 | PR | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Centro de Medicina Primaria VA | General Practice | Current |
Accepting new patients |
| Florida Medical Associates LLC | Current |
Accepting new patients | |
| Centro Medicina Primaria Vega Alta | General Practice | Current |
Accepting new patients |
Locations
13940 N US Highway 441
Ste 102
Lady Lake, FL 32159
Phone (352) 509-9900
11100 SW 93rd Court Rd
Ste 14
Ocala, FL 34481
Phone (352) 509-6918
601 S Harbour Island Blvd
Ste 200
Tampa, FL 33602
Phone (727) 322-3439
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | ACN464 | FL | Yes |
| General Practice Physician | 208D00000X | 17647 | PR |
Addresses
Primary practice location
11100 SW 93Rd Court Rd Ste 14
Ocala, FL 34481-5188
Mailing address
601 S Harbour Island Blvd Ste 200
Tampa, FL 33602-5925
Phone (800) 480-5243
Other practice location 1
205 Dr M L King St N
St Petersburg, FL 33701-3109
Phone (939) 645-5938
Other providers in Ocala, FL
- Karol Peralta
- Katherine Peralta
- Patrice Olivier Perche
- Olga Lucia Perez Estrada
- Laura Nathalia Perez Mendoza
- Mirta C Perez Rivero
- Saribel Perez Torres
- Isabel Perez-Texidor
- Aldo Perez III
- Anayelis Perez
All providers in Ocala, FL · General Practice Physician in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 5, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.