Healthcare Provider Details

I. General information

NPI: 1235202292
Provider Name (Legal Business Name): CAESAR G VILLARICA M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/16/2006
Last Update Date: 03/23/2026
Certification Date: 03/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6100 LAKE ELLENOR DR STE 227
ORLANDO FL
32809-4614
US

IV. Provider business mailing address

6100 LAKE ELLENOR DR STE 227
ORLANDO FL
32809-4614
US

V. Phone/Fax

Practice location:
  • Phone: 516-286-1053
  • Fax: 407-633-7541
Mailing address:
  • Phone: 516-286-1053
  • Fax: 407-633-7541

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberME157270
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License NumberME157270
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: