MEDICARE: ALEX DANILO CACERES PALACIOS

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
1	1223G0001X	General Practice Dentistry	DN30570	FL

General Provider Information

NPI Number	:	1215628516
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALEX DANILO CACERES PALACIOS

Provider Business Mailing Address
First Line	:	12131 S APOPKA VINELAND RD
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32836-6802
Country	:	US
Telephone Number	:	407-749-0224
Fax Number	:

Provider Business Practice Location Address
First Line	:	1645 E HWY 50 STE 100
Second Line	:
City	:	CLERMONT
State	:	FL
Zip	:	34711-5199
Country	:	US
Telephone Number	:	352-327-8957
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/17/2023
Last Update Date	:	05/14/2026

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Directions to “ ALEX DANILO CACERES PALACIOS ” Practice Location

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