Active NPI
Gloria Jordan Perez, DO
- Obstetrics Physician
- Clermont, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics Physician
- License
- 16861
- 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, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942660410 | Other | FL | NPI |
Other names 1
- Gloria Jordan Petrie
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| OS16861 | FL | MD | Obstetrics & Gynecology Physician |
| 16861 | FL | MD | Obstetrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DHP of Manatee PA | Obstetrics & Gynecology | Current | Accepting new patients |
| South Lake Obstetrics & Gynecology, LLC | Obstetrics & Gynecology | Current | 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 | Current | Accepting new patients |
| OB Hospitalist Group LLC | Obstetrics & Gynecology | Current | Accepting new patients |
| Vitalmd Group Holding LLC | Obstetrics & Gynecology | Current | 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.
-
dba South Lake OB/GYN and Advanced Surgery
- Obstetrics & Gynecology Physician
- Clermont, FL
- NPI 1497754121
-
- Obstetrics & Gynecology Physician
- Miami, FL
- NPI 1871572032
-
- Obstetrics & Gynecology Physician
- Mangonia Park, FL
- NPI 1134771611
-
- Obstetrics & Gynecology Physician
- Boca Raton, FL
- NPI 1710647334
-
- Obstetrics Physician
- Clermont, FL
- NPI 1538004106
-
dba AdventHealth Medical Group
- Family Medicine Physician
- Orlando, FL
- NPI 1225034234
-
- Internal Medicine Physician
- Orlando, FL
- NPI 1669429577
-
- Obstetrics & Gynecology Physician
- Naples, FL
- NPI 1811652704
-
- Obstetrics & Gynecology Physician
- Winter Haven, FL
- NPI 1851282016
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Orlando Health South Lake Hospital
- General Acute Care Hospital
- Clermont, FL
- NPI 1336221019
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.