Healthcare Provider Details

I. General information

NPI: 1104392612
Provider Name (Legal Business Name): KARLA MARIA FLORES PEREZ MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/23/2018
Last Update Date: 09/24/2025
Certification Date: 09/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5850 T G LEE BLVD STE 490
ORLANDO FL
32822-4407
US

IV. Provider business mailing address

5850 T G LEE BLVD STE 490
ORLANDO FL
32822-4407
US

V. Phone/Fax

Practice location:
  • Phone: 689-262-5558
  • Fax: 407-842-1391
Mailing address:
  • Phone: 407-214-2499
  • Fax: 407-602-3074

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberME161889
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: