Healthcare Provider Details

I. General information

NPI: 1184554362
Provider Name (Legal Business Name): ALEJANDRA SOSA PEREZ DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/20/2026
Last Update Date: 05/20/2026
Certification Date: 05/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1601 PARK CENTER DR STE 4
ORLANDO FL
32835-5700
US

IV. Provider business mailing address

2121 S HIAWASSEE RD APT 4602
ORLANDO FL
32835-8768
US

V. Phone/Fax

Practice location:
  • Phone: 407-982-1912
  • Fax:
Mailing address:
  • Phone: 786-238-3180
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License NumberDN31636
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: