MEDICARE: DR. PATRICIO CEDENO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	CH15061	FL

General Provider Information

NPI Number	:	1235965617
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PATRICIO CEDENO

Provider Business Mailing Address
First Line	:	3794 ISLAND GREEN WAY
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32824-5096
Country	:	US
Telephone Number	:	407-450-8462
Fax Number	:

Provider Business Practice Location Address
First Line	:	3794 ISLAND GREEN WAY
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32824-5096
Country	:	US
Telephone Number	:	407-450-8462
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/11/2024
Last Update Date	:	09/11/2024

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Directions to “ DR. PATRICIO CEDENO ” Practice Location

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