Organization
GERIMED 2000 LLC
Active
Other names
Village Family Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. OSCAR PEREZ MD (OWNER/MEDICAL DIRECTOR)
(813) 918-5000
Entity
Organization
Contact information
Practice address
5330 EHRLICH ROAD, SUITE 138, TAMPA, FL 33624-6975
(803) 908-5000
(813) 908-5030
Mailing address
5330 EHRLICH ROAD, SUITE 138, TAMPA, FL 33624-6975
(803) 908-5000
(813) 908-5030
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
ME0061377
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1124022546
OSCAR NPI
—
05
—
265467900
—
FL
01
—
ME0061377
OSCAR M.D. LICENSE
FL
Enumeration date
03/14/2008
Last updated
04/13/2020
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