Individual provider Active NPI

Gloria Jordan Perez, DO

  • Obstetrics Physician
  • Clermont, FL
National Provider Identifier
1942660410
Registry record updated Apr 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics PhysicianTaxonomy code 207VX0000X
License
16861 Issued in FL
Practice address
1900 Don Wickham Dr Ste 130
Clermont, FL 34711-1979
Phone
(352) 241-7050
NPI assigned
Feb 26, 2016
Last updated
Apr 14, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X OS16861 FL
Obstetrics Physician 207VX0000X 16861 FL Primary

Addresses

Primary practice location

1900 Don Wickham Dr Ste 130
Clermont, FL 34711-1979

Mailing address

8812 Lake Glona CT
Clermont, FL 34711-8332
Phone (352) 516-2629

Other practice location 1

1900 Don Wickham Dr
Clermont, FL 34711-1979
Phone (321) 841-5281

Other practice location 2

83 W Miller St
Orlando, FL 32806-2031
Phone (321) 841-5281

Other identifiers 1

IdentifierTypeStateIssuer
1942660410OtherFLNPI

Other names 1

  • Gloria Jordan Petrie Former name

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL https://southlakeobgyn.net
Direct Messaging Address gperez@femwell.com Direct

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211109002137 FL Practitioner - Obstetrics/Gynecology 5698164887 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Oklahoma State University College of Osteopathic Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vitalmd Group Holding LLCGroup PAC ID 8921091786, 535 clinicians
South Lake Obstetrics and Gynecology LLCGroup PAC ID 9638168693, 3 clinicians

Practice addresses (Care Compare)

1900 Don Wickham Dr
120 South Lake OB GYN
Clermont, FL 34711-1947
Phone (352) 241-7050

1900 Don Wickham Dr
Suite 120
Clermont, FL 34711-1980
Phone (352) 241-7050

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
OS16861FLMDObstetrics & Gynecology Physician
16861FLMDObstetrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
DHP of Manatee PA Obstetrics & Gynecology CurrentSince Nov 1, 2023 Accepting new patients
South Lake Obstetrics & Gynecology, LLC Obstetrics & Gynecology CurrentSince Apr 1, 2024 Accepting new patients
Tria Asset Management Obstetrics Current Accepting new patients
OB Hospitalist Group LLC Obstetrics & Gynecology Current Accepting new patients
OB Hospitalist Group LLC Obstetrics & Gynecology CurrentSince Apr 10, 2023 Accepting new patients
OB Hospitalist Group LLC Obstetrics & Gynecology CurrentSince Apr 10, 2023 Accepting new patients
Vitalmd Group Holding LLC Obstetrics & Gynecology CurrentSince Aug 7, 2021 Accepting new patients

Locations

300 Pinellas St
Clearwater, FL 33756
Phone (727) 461-8552

300 Pinellas St
Stop 14
Clearwater, FL 33756

1900 Don Wickham Dr
Clermont, FL 34711
Phone (352) 536-8761

1900 Don Wickham Dr
Ste 120
Clermont, FL 34711
Phone (352) 241-7050

1900 Don Wickham Dr
Ste 130
Clermont, FL 34711
Phone (352) 241-7050

1324 Lakeland Hills Blvd
Lakeland, FL 33805
Phone (863) 687-1132

3225 Aviation Ave
Ste 700
Miami, FL 33133
Phone (305) 273-4641

8900 SW 88th St
Miami, FL 33176
Phone (305) 596-1960

1500 SW 1st Ave
Ocala, FL 34471
Phone (352) 351-7500

703 N Flamingo Rd
Pembroke Pnes, FL 33028
Phone (954) 436-5000

3100 E Fletcher Ave
Tampa, FL 33613
Phone (813) 615-7200

13001 State Road 80
Westlake, FL 33470
Phone (561) 793-3300

101 Avenue O SE
Winter Haven, FL 33880
Phone (863) 294-7010

Organizations & group practices 9

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1456444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776124800000",
    "number": "1942660410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8812 LAKE GLONA CT",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347118332",
            "telephone_number": "352-516-2629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 DON WICKHAM DR STE 130",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347111979",
            "telephone_number": "352-241-7050"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1900 Don Wickham Dr",
            "address_purpose": "LOCATION",
            "city": "Clermont",
            "state": "FL",
            "postal_code": "347111979",
            "country_code": "US",
            "telephone_number": "321-841-5281",
            "fax_number": "321-843-2068",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "83 W Miller St",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328062031",
            "country_code": "US",
            "telephone_number": "321-841-5281",
            "fax_number": "321-843-2068",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "GLORIA",
        "middle_name": "JORDAN",
        "name_prefix": "Mrs.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-26",
        "last_updated": "2026-04-14",
        "certification_date": "2026-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "OS16861",
            "primary": false
        },
        {
            "code": "207VX0000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "FL",
            "license": "16861",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1942660410",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://southlakeobgyn.net",
            "affiliation": "N",
            "address_1": "1900 Don Wickham Dr Ste 130",
            "city": "Clermont",
            "state": "FL",
            "country_code": "US",
            "postal_code": "347111979",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "gperez@femwell.com",
            "affiliation": "N",
            "endpointDescription": "business email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1900 Don Wickham Dr Ste 130",
            "city": "Clermont",
            "state": "FL",
            "country_code": "US",
            "postal_code": "347111979",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "GLORIA",
            "last_name": "JORDAN PETRIE",
            "credential": "DO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Clermont, FL

Sources for this page

Verify at the official NPI Registry.