Gordon Perez Mena, Elisa B
Gordon Perez Mena, Elisa B is an sole proprietor health care provider with primary practice located at 101 Divine Dr Ste 1 , Davenport FL 33897-9571. She recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as her primary health care specialty. Gordon Perez Mena, Elisa B can be contacted via phone (863) 256-3225.Contact Information
Primary practice address
101 Divine Dr Ste 1
Davenport FL 33897-9571
Phone: (863) 256-3225
Fax: (844) 388-6186
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | ACN1296 | Florida |
Profile Details
| NPI number | 1720680887 |
|---|---|
| LBN Legal business name | Gordon Perez Mena, Elisa B |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 13th, 2020 |
| Last updated | Dec 5th, 2022 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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