Perez, Aixsa
Perez, Aixsa is an sole proprietor health care provider with primary practice located at 955 S Woodland Blvd Ste A1 , Deland FL 32720-7321. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / General Practice is her primary health care specialty. Perez, Aixsa can be contacted via phone (855) 226-6633.Contact Information
Primary practice address
955 S Woodland Blvd Ste A1
Deland FL 32720-7321
Phone: (855) 226-6633
Fax: (866) 285-7068
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 01049434A | Indiana |
Allopathic & Osteopathic Physicians / General Practice | 208D00000X | ACN1112 | Florida |
Profile Details
NPI number | 1639171853 |
---|---|
LBN Legal business name | Perez, Aixsa |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jun 1st, 2005 |
Last updated | Apr 28th, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1639171853 | NPPES |
Florida | MEDICAID | 102864500 |
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