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NPI Code Detail

MEDICARE: DR. EDGAR R CACERES MD

MEDICARE: DR. EDGAR R CACERES MD
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
1207W00000XOphthalmology PhysicianME92734FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1679547236
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. EDGAR R CACERES MD
Provider Business Mailing Address
First Line : 3230 LAKE WORTH RD
Second Line : STE A
City : PALM SPRINGS
State : FL
Zip : 33461-3694
Country : US
Telephone Number : 561-228-8882
Fax Number : 561-357-3387
Provider Business Practice Location Address
First Line : 3230 LAKE WORTH RD
Second Line : STE A
City : PALM SPRINGS
State : FL
Zip : 33461-3694
Country : US
Telephone Number : 561-228-8882
Fax Number : 561-357-3387
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/13/2006
Last Update Date : 10/05/2016

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