Dr Mark David Perez, MD | |
3601 W Commercial Blvd Ste 20, Fort Lauderdale, FL 33309-3334 | |
(954) 368-4560 | |
(954) 530-6418 |
Full Name | Dr Mark David Perez |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 3601 W Commercial Blvd Ste 20, Fort Lauderdale, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1396740783 | NPI | - | NPPES |
891306J | Medicaid | NC | |
C3864 | Other | NC | MEDCOST |
1306J | Other | NC | BCBS |
080192422 | Other | NC | RAILROAD MEDICARE |
39-01069 | Other | NC | UNITED HEALTHCARE |
080185873 | Other | NC | RAILROAD MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | ME130601 (Florida) | Secondary |
207Q00000X | Family Medicine | 9700706 (North Carolina) | Primary |
Entity Name | J. Arthur Dosher Memorial Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275660342 PECOS PAC ID: 8921910324 Enrollment ID: O20031104000362 |
Entity Name | Jefferson Emergency Services Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720495336 PECOS PAC ID: 4880813047 Enrollment ID: O20140919002281 |
Mailing Address | Practice Location Address |
---|---|
Dr Mark David Perez, MD Po Box 936857, Atlanta, GA 31193-6857 Ph: (910) 662-6600 | Dr Mark David Perez, MD 3601 W Commercial Blvd Ste 20, Fort Lauderdale, FL 33309-3334 Ph: (954) 368-4560 |
Miss Jocelyn Arlene Perez, APRN, FNP-C Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 6333 N Federal Hwy Ste 270, Fort Lauderdale, FL 33308 Phone: 509-768-2249 | |
Kassandra Mcgehee Bosire, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1100 E Broward Blvd, Fort Lauderdale, FL 33301 Phone: 954-463-5271 | |
Anthony P Previte, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 1820 E Commercial Blvd, Fort Lauderdale, FL 33308 Phone: 954-202-0205 | |
Dr. David Michael Paul, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 2020 Ne 48th Ct, Fort Lauderdale, FL 33308 Phone: 954-564-0062 Fax: 954-335-1837 | |
Gilbert R Weiner, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1130 Bayview Dr, Fort Lauderdale, FL 33304 Phone: 954-764-8911 Fax: 954-764-2150 | |
Dr. Norman Pollock, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3072 Ne 49th St, Fort Lauderdale, FL 33308 Phone: 954-491-2467 | |
Dr. Vi Song Tring, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 1339 Sw 3rd Ct, Fort Lauderdale, FL 33312 Phone: 954-850-1637 |