Healthcare Provider Details

I. General information

NPI: 1851298236
Provider Name (Legal Business Name): THE FLORIDA NP LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/20/2026
Last Update Date: 10/20/2026
Certification Date: 10/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4152 SW 46TH TER
OCALA FL
34474-9845
US

IV. Provider business mailing address

7901 4TH ST N # 35971
ST PETERSBURG FL
33702-4305
US

V. Phone/Fax

Practice location:
  • Phone: 617-750-3114
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: KIRSIS PEREZ
Title or Position: OWNDER
Credential: ARNP, FNP, PMHNP
Phone: 352-615-3737