Provider Demographics
NPI:1558395434
Name:PERALTA, ANA ELIZABETH (MD)
Entity Type:Individual
Prefix:
First Name:ANA
Middle Name:ELIZABETH
Last Name:PERALTA
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Gender:F
Credentials:MD
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Mailing Address - Street 1:8660 W FLAGLER ST
Mailing Address - Street 2:SUITE 200
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33144-2031
Mailing Address - Country:US
Mailing Address - Phone:305-227-3884
Mailing Address - Fax:305-554-4833
Practice Address - Street 1:8840 SW 40TH ST
Practice Address - Street 2:SUITE 100
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33165-5482
Practice Address - Country:US
Practice Address - Phone:305-227-3884
Practice Address - Fax:305-554-4833
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-10
Last Update Date:2019-07-30
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Provider Licenses
StateLicense IDTaxonomies
FLME79183207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine