Elisa B Gordon Perez Mena, MD | |
101 Divine Dr Ste 1, Davenport, FL 33897-9571 | |
(863) 256-3225 | |
(844) 388-6186 |
Full Name | Elisa B Gordon Perez Mena |
---|---|
Gender | Female |
Speciality | General Practice |
Experience | 32 Years |
Location | 101 Divine Dr Ste 1, Davenport, Florida |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1720680887 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | ACN1296 (Florida) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Florida Medical Associates Llc | 0648271155 | 122 |
Entity Name | Florida Medical Associates Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1336153709 PECOS PAC ID: 0648271155 Enrollment ID: O20070126000169 |
Mailing Address | Practice Location Address |
---|---|
Elisa B Gordon Perez Mena, MD 601 S Harbour Island Blvd Ste 200, Tampa, FL 33602-5925 Ph: (800) 480-5243 | Elisa B Gordon Perez Mena, MD 101 Divine Dr Ste 1, Davenport, FL 33897-9571 Ph: (863) 256-3225 |
Dr. Tamara Ivelisse Guzman Rodriguez, MD General Practice Medicare: Medicare Enrolled Practice Location: 130 Ridge Center Dr, Davenport, FL 33837 Phone: 866-234-8534 | |
Teodoro Medina, M.D. General Practice Medicare: Accepting Medicare Assignments Practice Location: 111 Webb Dr, Davenport, FL 33837 Phone: 863-421-9447 Fax: 863-421-1806 | |
Dr. Ricardo R Sanchez Maceira, M.D. General Practice Medicare: Accepting Medicare Assignments Practice Location: 111 Webb Dr, Davenport, FL 33837 Phone: 863-421-9447 Fax: 863-421-1806 | |
Dr. Reyna Isabel Lajara, M.D. General Practice Medicare: Accepting Medicare Assignments Practice Location: 127 Ridge Center Dr, Davenport, FL 33837 Phone: 863-421-7400 Fax: 863-421-7448 | |
Ladapo Shyngle, M.D., MPH General Practice Medicare: Not Enrolled in Medicare Practice Location: 121 Webb Dr, Suite 100, Davenport, FL 33837 Phone: 863-422-0001 Fax: 863-422-0003 | |
Yamil Carlo Lopez, General Practice Medicare: Medicare Enrolled Practice Location: 2330 North Blvd W, Davenport, FL 33837 Phone: 407-931-0444 Fax: 407-962-4446 |