Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. ELISA B GORDON PEREZ MENA, MD
Active Sole ProprietorDR. ELISA B GORDON PEREZ MENA, MD is a General Practice healthcare provider located in POINCIANA, Florida. NPI 1720680887 is currently active in the NPPES registry. Verify at CMS.
General Practice · POINCIANA, FL
Registration Details
- NPI Number
- 1720680887
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 13, 2020 (5.7300500732114 yrs)
- Last Updated
- Sep 26, 2024
- License
-
ACN1296 (FL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1060 CYPRESS PKWY UNIT 101POINCIANA, FL, 347593328Browse FL providers · Browse ZIP 34759
- Phone
- 8635884775
- Fax
- 8634227664
- Primary Specialty
-
General Practice
208D00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.