Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Elaine Rouco Perez

Individual provider Physician Assistant · NPI 1639540453

Elaine Rouco Perez is a Physician Assistant in Tampa, Florida. Qualified in 2015, 11 years ago. Practices with My Doctor Medical Group Corp, a 5-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
11
Licensed in
FL
In the registry since
2015
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Practice location Address checks out

6822 W Waters Ave
Tampa, FL 33634-2212
Phone: (813) 280-4909
Fax: (813) 302-7143
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA9109133 (FL)

Record details

NPI number1639540453
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 20, 2015
Last updated in NPPESAugust 29, 2024
Certification dateAugust 29, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice My Doctor Medical Group Corp — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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