Healthcare Provider Details

I. General information

NPI: 1457140543
Provider Name (Legal Business Name): CAIO CESAR MAIA LOPES M.D
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/05/2025
Last Update Date: 06/25/2026
Certification Date: 06/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1401 W SEMINOLE BLVD
SANFORD FL
32771-6743
US

IV. Provider business mailing address

4270 SYMPHONY CIR UNIT 7-319
SANFORD FL
32771-9039
US

V. Phone/Fax

Practice location:
  • Phone: 407-321-4500
  • Fax:
Mailing address:
  • Phone: 850-450-2272
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: