Provider Demographics
NPI:1194695353
Name:FLEX CARE PROFESSIONAL LLC
Entity type:Organization
Organization Name:FLEX CARE PROFESSIONAL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:ELENA
Authorized Official - Middle Name:M
Authorized Official - Last Name:PERNAS
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:214-416-7414
Mailing Address - Street 1:640 NW 36TH CT STE A
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33125-4038
Mailing Address - Country:US
Mailing Address - Phone:214-416-7414
Mailing Address - Fax:
Practice Address - Street 1:640 NW 36TH CT STE A
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33125-4038
Practice Address - Country:US
Practice Address - Phone:214-416-7414
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-11-11
Last Update Date:2025-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty