Individual
DR. ELISA B GORDON PEREZ MENA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1060 CYPRESS PKWY UNIT 101, POINCIANA, FL 34759-3328
(863) 588-4775
(863) 422-7664
Mailing address
PO BOX 1568, DAVENPORT, FL 33836-1568
(863) 588-4775
(863) 422-7664
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
ACN1296
FL
Other
Enumeration date
11/13/2020
Last updated
09/26/2024
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