Healthcare Provider Details
I. General information
NPI: 1538322003
Provider Name (Legal Business Name): CESAR A PEREZ BATISTA M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 07/05/2008
Last Update Date: 07/13/2021
Certification Date: 07/13/2021
Deactivation Date:
Reactivation Date:
III. Provider practice location address
6400 SANGER RD STE A-2000
ORLANDO FL
32827-7400
US
IV. Provider business mailing address
4371 VERONICA S SHOEMAKER BLVD
FORT MYERS FL
33916-2216
US
V. Phone/Fax
- Phone: 407-735-5695
- Fax: 407-851-4634
- Phone: 239-274-8200
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207RH0000X |
| Taxonomy | Hematology (Internal Medicine) Physician |
| License Number | ME131139 |
| License Number State | FL |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207R00000X |
| Taxonomy | Internal Medicine Physician |
| License Number | ME131139 |
| License Number State | FL |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207RX0202X |
| Taxonomy | Medical Oncology Physician |
| License Number | ME131139 |
| License Number State | FL |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: