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NPI Code Detail

MEDICARE: DR. CESAR ENRIQUE CEDENO PHARM.D.

MEDICARE: DR. CESAR ENRIQUE CEDENO PHARM.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacistPS40214FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1PS40214OTHERFLFLORIDA PHARMACY LICENSE

General Provider Information

NPI Number : 1003010885
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CESAR ENRIQUE CEDENO PHARM.D.
Provider Business Mailing Address
First Line : 132 SW PEACOCK BLVD
Second Line : #203
City : SAINT LUCIE WEST
State : FL
Zip : 34986-4500
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1705 US HIGHWAY 1
Second Line :
City : VERO BEACH
State : FL
Zip : 32960-5544
Country : US
Telephone Number : 772-569-1414
Fax Number : 772-568-5181
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/13/2007
Last Update Date : 07/08/2007

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Directions to “ DR. CESAR ENRIQUE CEDENO PHARM.D.” Practice Location

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