Dr Aixsa Perez, MD | |
955 S Woodland Blvd Ste A1, Deland, FL 32720-7321 | |
(855) 226-6633 | |
(866) 285-7068 |
Full Name | Dr Aixsa Perez |
---|---|
Gender | Female |
Speciality | General Practice |
Location | 955 S Woodland Blvd Ste A1, Deland, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1639171853 | NPI | - | NPPES |
102864500 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 01049434A (Indiana) | Secondary |
208D00000X | General Practice | ACN1112 (Florida) | Primary |
Entity Name | Cano Health, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1689901688 PECOS PAC ID: 1759565047 Enrollment ID: O20110411000829 |
Entity Name | Genesis Family Practice Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023369204 PECOS PAC ID: 8921253816 Enrollment ID: O20130226000215 |
Mailing Address | Practice Location Address |
---|---|
Dr Aixsa Perez, MD 955 S Woodland Blvd Ste A1, Deland, FL 32720-7321 Ph: (855) 226-6633 | Dr Aixsa Perez, MD 955 S Woodland Blvd Ste A1, Deland, FL 32720-7321 Ph: (855) 226-6633 |
Deborah Maria Ball Mora, MD General Practice Medicare: Accepting Medicare Assignments Practice Location: 233 E International Speedway Blvd Unit A, Deland, FL 32724 Phone: 386-854-0581 | |
Dr. Brendaliz Asencio, M.D. General Practice Medicare: Accepting Medicare Assignments Practice Location: 925 N Stone St, Deland, FL 32720 Phone: 386-734-6007 Fax: 386-734-6008 |