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General NPI Number Information
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NPI Number | 1669444725
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Entity Type | Individual
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Provider Name | JAMIE A CESARETTI MD
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Gender | Male
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Dates
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Enumeration Date | 02/03/2006
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Last Update Date | 10/24/2019
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Provider Practice Location Address
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Address Line | 1561 W FAIRBANKS AVE SUITE 100
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City | WINTER PARK
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State | FL
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Zip | 32789-4678
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Country | US
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Telephone | 407-478-4920
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Fax | 407-478-4921
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Provider Business Mailing Address
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Address Line | 7017 A C SKINNER PARKWAY
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City | JACKSONVILLE
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State | FL
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Zip | 32256
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Country | US
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Telephone | 904-520-6800
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Fax | 904-520-6801
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0001X
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Taxonomy Name | Radiation Oncology Physician
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License Number | ME102354
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 2085R0001X
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Taxonomy Name | Radiation Oncology Physician
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License Number | 2233361
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License Number State | NY
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