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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 4 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639171853 NPPES
Florida MEDICAID 102864500

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