Healthcare Provider Details

I. General information

NPI: 1174517676
Provider Name (Legal Business Name): CESAR A EURIBE MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/12/2005
Last Update Date: 03/27/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2419 SE 22ND PL
OCALA FL
34471-8222
US

IV. Provider business mailing address

2419 SE 22ND PL
OCALA FL
34471-8222
US

V. Phone/Fax

Practice location:
  • Phone: 352-572-9760
  • Fax:
Mailing address:
  • Phone: 352-572-9760
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208VP0014X
TaxonomyInterventional Pain Medicine Physician
License NumberME45785
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: