GERIMED 2000 LLC (NPI# 1265603591) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1265603591 |
Entity Type | Organization |
Organization Name | GERIMED 2000 LLC |
Other Organization Name | VILLAGE FAMILY CLINIC |
Practice Address |
5330 Ehrlich Road Suite 138 Tampa FL 33624-6975 |
Practice Telephone | 8039085000 |
Practice Fax Number | 8139085030 |
Mailing Telephone | 8039085000 |
Mailing Fax Number | 8139085030 |
Enumeration Date | 2008-03-14 |
Last Update Date | 2020-04-13 |
Authorized Official Name | DR. OSCAR PEREZ (OWNER/MEDICAL DIRECTOR) |
Authorized Official Telephone | 8139185000 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207QG0300X |
Family Medicine Specialization: Geriatric Medicine |
ME0061377 | FL | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OSCAR NPI | 1124022546 | 01 | |
FL | 265467900 | 05 | |
FL | OSCAR M.D. LICENSE | ME0061377 | 01 |
Other Name | Type Code |
---|---|
Village Family Clinic | Doing Business As Name - Organization |
Street Address |
5330 EHRLICH ROAD SUITE 138 |
City | TAMPA |
State | FL |
Zip Code | 33624-6975 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124022546 | Oscar Perez | Family Medicine | 5330 Ehrlich Road, Suite 138, Tampa, FL 33624-6975 | 2005-06-13 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922617380 | Transforming Treasures LLC | Behavioral Analyst | 4810 Centerbrook Ct, Tampa, FL 33624 | 2020-07-30 |
1467097642 | Sherryl Lynn Johnson-hanna | Dietitian, Registered | 4904 Rambling Rose Place, Tampa, FL 33624 | 2019-11-12 |
1679125926 | Nurse Practitioner On The Go | In Home Supportive Care | 16411 Oak Manor Drive, Tampa, FL 33624 | 2019-07-16 |
1427547587 | Sylicia Marks | Counselor | 4105 Brentwood Park Cir, Tampa, FL 33624 | 2018-05-04 |
1407352917 | Shelley Von Hightower | Pharmacist | 5008 W. Linebaugh Ave, Suite 35, Tampa, FL 33624 | 2018-04-03 |
1972002178 | Zachary Winterberg | Specialist/Technologist | 3821 Northgreen Ave Apt 1407, Tampa, FL 33624 | 2018-02-03 |
1013423268 | Beyond Care Home Health LLC | Home Health | 3903 Northdale Bvld, 100e, Tampa, FL 33624 | 2017-12-26 |
1285148841 | Gary Donald Kociszewski Jr. | Behavior Technician | 4920 Traskwood Ct, Tampa, FL 33624 | 2017-11-18 |
1932611944 | Valerie Lauren Martinez | Behavior Technician | 14039 Wolcott Dr, Tampa, FL 33624 | 2017-10-31 |
1073038287 | Mesfin T Araya | Non-emergency Medical Transport (VAN) | 4403 Akita Dr, Tampa, FL 33624 | 2017-08-09 |
Find all providers in zip 33624 |
Taxonomy Code | 207QG0300X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Family Medicine |
Specialization | Geriatric Medicine |
A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Family Medicine, 2007. http://wwwtheabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780867275 | Robert J. Shaw | Family Medicine | 16308 Moradas De Avila, Tampa, FL 33613-1092 | 2007-12-07 |
1124022546 | Oscar Perez | Family Medicine | 5330 Ehrlich Road, Suite 138, Tampa, FL 33624-6975 | 2005-06-13 |
1396179024 | Albert Tawil, M.d., P.a. | Family Medicine | 508 S Habana Ave, Ste. 360, Tampa, FL 33609-4181 | 2013-08-29 |
1760746408 | Marla Mickel Trapp | Family Medicine | 10150 Highland Manor Dr Ste 240, Tampa, FL 33610-9750 | 2012-06-27 |
1881868800 | Yasmin Divine | Family Medicine | 409 Bayshore Blvd, Tampa, FL 33606-2707 | 2008-04-22 |
1821008582 | Scott D Judd | Family Medicine | 13701 Bruce B Downs Blvd, Ste 106, Tampa, FL 33613-4647 | 2006-08-08 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821620618 | Heather J Cappello LLC | Family Medicine | 2571 Dick Wilson Dr, Sarasota, FL 34240-8722 | 2020-02-10 |
1225682784 | Brevard Geriatrics, LLC | Family Medicine | 720 E New Haven Ave Suite 11, Melbourne, FL 32901-5474 | 2019-08-01 |
1922562933 | Bless Medical Center Corp | Family Medicine | 440 E Sample Road Suite 107, Pompano Beach, FL 33064 | 2019-01-23 |
1730682642 | Centennial Medical Group | Family Medicine | 1341 Bedford Drive, Melbourne, FL 32940 | 2018-03-16 |
1184137929 | Saint George Medical Center Inc | Family Medicine | 1118 Hospital Rd, Fort Walton Beach, FL 32547-6742 | 2017-11-15 |
1750835211 | Gainesville Geriatric Rehabilitation Medicine LLC | Family Medicine | 5002 Nw 15th Pl, Gainesville, FL 32605-4555 | 2016-08-12 |
1033570171 | Reliance Med, LLC | Family Medicine | 8450 Reymont St, Orlando, FL 32827-7430 | 2016-03-17 |
1013375062 | Kravitz Physician Services, P.a. | Family Medicine | 5150 Nw 82nd Ter, Coral Springs, FL 33067-2811 | 2016-02-05 |
1972968089 | Wm R George II Md Pa | Family Medicine | 327 Plaza Real Ste 307, Boca Raton, FL 33432-3944 | 2015-12-17 |
1710369020 | Robert N. Baskin, Md, P.a. | Family Medicine | 2108 N Golfview Dr, Plant City, FL 33566-6768 | 2015-06-23 |
Find all providers with the same taxonomy |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.