DR. MARK DAVID PEREZ (NPI# 1396740783) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396740783 |
| Entity Type | Individual |
| Full Name | DR. MARK DAVID PEREZ |
| Credential | MD |
| Practice Address |
3601 W Commercial Blvd Ste 20 Fort Lauderdale FL 33309-3334 |
| Practice Telephone | 9543684560 |
| Practice Fax Number | 9545306418 |
| Mailing Telephone | 9543684560 |
| Mailing Fax Number | 9545306418 |
| Enumeration Date | 2005-06-14 |
| Last Update Date | 2019-10-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | ME130601 | FL | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 9700706 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | RAILROAD MEDICARE | 080185873 | 01 |
| NC | RAILROAD MEDICARE | 080192422 | 01 |
| NC | BCBS | 1306J | 01 |
| NC | MEDCOST | C3864 | 01 |
| NC | UNITED HEALTHCARE | 39-01069 | 01 |
| NC | 891306J | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952733883 | Mark Bautista Perez | Registered Nurse | 9417 Dunbar Dr, Oakland, CA 94603-3014 | 2013-08-01 |
| 1376703652 | Mark Perez | Contractor | 10345 Park Glenn Way, Suite 220, Parker, CO 80138 | 2008-06-11 |
| 1033314992 | Mark C Perez | Dentist | 6318 Fairmount Ave, El Cerrito, CA 94530-3648 | 2007-06-19 |
| 1487788642 | Mark H Perez | Physical Therapist | 92-6017 Puapake St, Kapolei, HI 96707-2392 | 2007-03-16 |
| 1720152473 | Mark A Perez | Family Medicine | 4275 Burnham Ave. Suite 210, Las Vegas, NV 89119-5488 | 2006-11-17 |
| 1447896873 | Mark Odilon Perez | Chiropractor | 5191 S Yosemite St Ste A, Greenwood Village, CO 80111-3360 | 2019-11-20 |
| 1306491840 | Mark Perez | Specialist/Technologist | 11200 Sw 8th St, Miami, FL 33199-2516 | 2019-08-01 |
| 1013314228 | Mark Perez | Rehabilitation Practitioner | 4900 Serrania Ave, Woodland Hills, CA 91364-3301 | 2014-12-03 |
| 1497019558 | Mark Anthony Perez | Counselor | 335 E Lake Ave, Watsonville, CA 95076-4826 | 2012-07-03 |
| 1922181742 | Mark Richard Perez | Dentist | 11503 Sunrise Valley Dr, Reston, VA 20191 | 2006-10-23 |
| Street Address |
3601 W COMMERCIAL BLVD STE 20 |
| City | FORT LAUDERDALE |
| State | FL |
| Zip Code | 33309-3334 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942841507 | Integrity Home Care Plus LLC | In Home Supportive Care | 1451 W Cypress Road Ste 300, Fort Lauderdale, FL 33309 | 2019-10-04 |
| 1518519875 | Jordanna Bettencourt | Behavior Technician | 1000 Sw 65th St, Suite #201, Fort Lauderdale, FL 33309 | 2019-07-16 |
| 1114579752 | Jewel Porter | Behavior Technician | 1000 Nw 65th St., Suite #201, Fort Lauderda, FL 33309 | 2019-07-14 |
| 1003318049 | Tri County Pet LLC | Clinic/Center | 2122 W. Cypress Creek Road, Suite 210, Fort Lauderdale, FL 33309 | 2018-03-06 |
| 1821508722 | Rose Marie Cecile Dyer | Home Health Aide | 4217 Nw 37th Terrace, Lauderdale Lakes, FL 33309 | 2017-10-05 |
| 1245756790 | Kattys Elena Mendoza | Behavior Technician | 1001 W. Cypress Creek Rd., 120, Ft Lauderdale, FL 33309 | 2017-08-16 |
| 1669902847 | Sharon Desir | Social Worker | 2700 West Cypress Creek Road, Executive Court, B-106, Fort Lauderdale, FL 33309 | 2017-06-19 |
| 1184158503 | Rebecca Robin Washington | Behavioral Analyst | 1001 W Cypress Creek Rd #120, Fort Lauderdale, Fl 33309, Fort Lauderdale, FL 33309 | 2017-04-12 |
| 1124564281 | Alloy Behavioral Health Solutions, Inc | Specialist | 1835 S Perimeter Road Suite 170, Fort Lauderdale, FL 33309 | 2017-01-13 |
| 1740738855 | Christina Camarena | Behavior Technician | 6414 Nw 5th Way, Fort Lauderdale, FL 33309 | 2016-09-18 |
| Find all providers in zip 33309 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, 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 Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235772542 | Chelsea Michaels | Family Medicine | 633 Ne 11th Ave, Fort Lauderdale, FL 33304-4692 | 2019-10-21 |
| 1174090245 | Jmr Medical Services Inc | Family Medicine | 2501 E Commercial Blvd Ste 212, Fort Lauderdale, FL 33308-4127 | 2018-10-26 |
| 1588141626 | Natan Bastoky | Family Medicine | 1600 S Andrews Ave # Gme, Fort Lauderdale, FL 33316 | 2018-07-22 |
| 1396269007 | Vip Physicians Consulting LLC | Family Medicine | 500 Se 17th St Ste 301, Fort Lauderdale, FL 33316-2547 | 2017-08-03 |
| 1144593302 | Norman Pollock | Family Medicine | 3072 Ne 49th St, Fort Lauderdale, FL 33308-4915 | 2012-02-20 |
| 1558644690 | North Broward Hospital District | Family Medicine | 6333 N Federal Hwy Ste 225, Fort Lauderdale, FL 33308-1913 | 2011-09-26 |
| 1154613859 | Vi Song Tring | Family Medicine | 1339 Sw 3rd Ct, Fort Lauderdale, FL 33312 | 2011-05-12 |
| 1447567854 | Partners In Healthcare | Family Medicine | 1806 Nw 19th St, Fort Lauderdale, FL 33311-3535 | 2010-09-07 |
| 1124355250 | David Michael Paul | Family Medicine | 2020 Ne 48th Ct, Fort Lauderdale, FL 33308-4522 | 2009-11-10 |
| 1205160215 | Richard Allen Hill | Family Medicine | 1318 Se 17th St, Fort Lauderdale, FL 33316-1708 | 2009-09-23 |
| Find all providers in FORT LAUDERDALE | ||||
| City | FORT LAUDERDALE |
| Zip Code | 33309 |
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| 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.