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CACERES SPECIALIZED GYNECOLOGY LLC NPI 1073069159


NPI Information

NPI: 1073069159
Provider Name: CACERES SPECIALIZED GYNECOLOGY, LLC
Classification: Obstetrics & Gynecology - 207VG0400X
Entity Type: Organization

Specialization: Gynecology

CLIA Number: 10D2133463

Address:
1530 CELEBRATION BLVD, SUITE 408
SUITE 408
CELEBRATION, FL
ZIP 34747
Phone: (407) 392-2777
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CACERES SPECIALIZED GYNECOLOGY, LLC is a gynecology obstetrics gynecology in Celebration, FL. CACERES SPECIALIZED GYNECOLOGY, LLC NPI is 1073069159. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

1530 CELEBRATION BLVD, SUITE 408
SUITE 408
CELEBRATION, FL
ZIP 34747-970
Phone: (407) 392-2777
Fax: (407) 605-5999

The provider's authorized official is Aileen Caceres .
The authorized official title is President/owner and has the following contact phone number (321) 286-6222.

The CLIA number assigned to this NPI record is 10D2133463 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/29/2016 and was last updated on 1/20/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207VG0400XObstetrics & GynecologyGynecologyME98869FLORIDAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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