Individual
ELIMARYS PEREZ COLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1 TAMPA GENERAL CIR, F170, TAMPA, FL 33606-3571
(813) 974-2201
Mailing address
PO BOX 917770, ORLANDO, FL 32891-0001
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ME116147
FL
208M00000X
Hospitalist Physician
Primary
ME116147
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008973800
—
FL
01
—
14QW8
BLUE CROSS BLUE SHIELD
FL
Enumeration date
06/08/2009
Last updated
03/30/2021
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