GERIMED 2000 LLC


Address: 5330 Ehrlich Road, Suite 138, Tampa, FL 33624-6975
Phone: 8039085000

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207QG0300X Family Medicine
Specialization: Geriatric Medicine
ME0061377 FL Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
OSCAR NPI 1124022546 01
FL 265467900 05
FL OSCAR M.D. LICENSE ME0061377 01

Other Provider/Organization Names

Other Name Type Code
Village Family Clinic Doing Business As Name - Organization

Office Location

Street Address 5330 EHRLICH ROAD
SUITE 138
City TAMPA
State FL
Zip Code 33624-6975

Providers in the same location

NPI Name Taxonomy Address Enumeration
1124022546 Oscar Perez Family Medicine 5330 Ehrlich Road, Suite 138, Tampa, FL 33624-6975 2005-06-13

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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
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Taxonomy Information

Taxonomy Code 207QG0300X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine
Specialization Geriatric Medicine

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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
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Competitor

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City TAMPA
Zip Code 33624

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Dataset Information

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.

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