Provider Demographics
NPI:1740833599
Name:ELZA PEREIRA, DMD, PA
Entity type:Organization
Organization Name:ELZA PEREIRA, DMD, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:
Authorized Official - First Name:ELZA
Authorized Official - Middle Name:
Authorized Official - Last Name:PEREIRA
Authorized Official - Suffix:
Authorized Official - Credentials:DMD, PA
Authorized Official - Phone:941-921-3121
Mailing Address - Street 1:7129 CURTISS AVE STE 6
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34231-8080
Mailing Address - Country:US
Mailing Address - Phone:941-921-3121
Mailing Address - Fax:
Practice Address - Street 1:7129 CURTISS AVE STE 6
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34231-8080
Practice Address - Country:US
Practice Address - Phone:941-921-3121
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-22
Last Update Date:2019-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental