Provider Demographics
NPI:1902139587
Name:PEREZ PEREZ, ELVIRA ESTHER (MD)
Entity Type:Individual
Prefix:MS
First Name:ELVIRA
Middle Name:ESTHER
Last Name:PEREZ PEREZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:601 S HARBOUR ISLAND BLVD STE 200
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33602-5925
Mailing Address - Country:US
Mailing Address - Phone:800-480-5243
Mailing Address - Fax:800-928-7449
Practice Address - Street 1:11100 SW 93RD COURT RD STE 14
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34481-5188
Practice Address - Country:US
Practice Address - Phone:352-509-6918
Practice Address - Fax:352-509-6937
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-14
Last Update Date:2023-06-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLACN464208D00000X
PR17647208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice