MEDICARE: DR. HECTOR J CASES

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	2084P2900X	Pain Medicine (Psychiatry & Neurology) Physician	ME89547	FL
2	208VP0014X	Interventional Pain Medicine Physician	ME89547	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	ME89547	OTHER	FL	MEDICAL LICENSE
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1265491781
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. HECTOR J CASES

Provider Business Mailing Address
First Line	:	504 N REO ST
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33609-1013
Country	:	US
Telephone Number	:	813-549-2134
Fax Number	:	813-864-4436

Provider Business Practice Location Address
First Line	:	725 CORTARO DR
Second Line	:
City	:	SUN CITY CENTER
State	:	FL
Zip	:	33573-6812
Country	:	US
Telephone Number	:	813-426-8265
Fax Number	:	813-426-8266

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

Provider Enumeration Date	:	03/22/2006
Last Update Date	:	01/09/2020

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