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NPI Code Detail

MEDICARE: JAMES CESARE IV

MEDICARE: JAMES CESARE IV
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
1363A00000XPhysician AssistantFL

General Provider Information

NPI Number : 1295662088
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAMES CESARE IV
Provider Business Mailing Address
First Line : 13876 LUNA DR
Second Line :
City : NAPLES
State : FL
Zip : 34109-0572
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3650 COLONIAL CT
Second Line :
City : FORT MYERS
State : FL
Zip : 33913-6636
Country : US
Telephone Number : 239-274-6070
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/06/2026
Last Update Date : 05/06/2026

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