MEDICARE: CECILIA PANLILIO PINEDA MD CORP

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	261Q00000X	Clinic/Center	ME0071198	FL

General Provider Information

NPI Number	:	1366521700
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CECILIA PANLILIO PINEDA MD CORP

Provider Business Mailing Address
First Line	:	P.O. BOX 2342
Second Line	:
City	:	WINDERMERE
State	:	FL
Zip	:	34786-2342
Country	:	US
Telephone Number	:	407-365-0800
Fax Number	:	407-365-7240

Provider Business Practice Location Address
First Line	:	2959 ALAFAYA TRL
Second Line	:	117
City	:	OVIEDO
State	:	FL
Zip	:	32765-9482
Country	:	US
Telephone Number	:	407-365-0800
Fax Number	:	407-365-7240

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. CECILIA PANLILIO PINEDA
Credential	:	M.D
Telephone Number	:	407-365-0800

Provider Enumeration Date	:	11/05/2006
Last Update Date	:	09/25/2012

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