1952527665 NPI number — CESAR R GAMERO MD LLC

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1952527665 NPI number — CESAR R GAMERO MD LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
CESAR R GAMERO MD LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1952527665
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/20/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
9401 SW HIGHWAY 200
Provider Second Line Business Mailing Address:
BUILDING 2000, SUITE 2004
Provider Business Mailing Address City Name:
OCALA
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
34481-9612
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
352-369-9777
Provider Business Mailing Address Fax Number:
352-369-9991

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
9401 SW HIGHWAY 200
Provider Second Line Business Practice Location Address:
BUILDING 2000, SUITE 2004
Provider Business Practice Location Address City Name:
OCALA
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
34481-9612
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
352-369-9777
Provider Business Practice Location Address Fax Number:
352-369-9771
Provider Enumeration Date:
04/18/2007

Additional Information

Authorized Official

Authorized Official Last Name:
GAMERO
Authorized Official First Name:
CESAR
Authorized Official Middle Name:
RAUL
Authorized Official Title or Position:
MANAGER
Authorized Official Telephone Number:
352-369-9777

Provider Taxonomy Codes

  • Taxonomy code: 207R00000X , with the licence number:  ME 95007 , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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