Healthcare Provider Details

I. General information

NPI: 1447246525
Provider Name (Legal Business Name): JULIO CESAR PAEZ MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/23/2005
Last Update Date: 10/20/2025
Certification Date: 10/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2440 HOOKS ST
CLERMONT FL
34711-3514
US

IV. Provider business mailing address

2440 HOOKS ST
CLERMONT FL
34711-3514
US

V. Phone/Fax

Practice location:
  • Phone: 352-394-0833
  • Fax: 352-394-0367
Mailing address:
  • Phone: 352-394-0833
  • Fax: 352-394-0367

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License NumberME92948
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: