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NPI Code Detail

MEDICARE: CESAR IAN AGUIRRE M.D.

MEDICARE:   CESAR IAN AGUIRRE  M.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
1207Q00000XFamily Medicine PhysicianME-120154FL

Other Identifiers

General Provider Information

NPI Number : 1528367117
Entity Type Code : Individual
Provider Name (Legal Business Name) : CESAR IAN AGUIRRE M.D.
Provider Business Mailing Address
First Line : 9889 GATE PKWY N BLDG 200
Second Line : SUITE 201
City : JACKSONVILLE
State : FL
Zip : 32246-9228
Country : US
Telephone Number : 904-645-6976
Fax Number : 904-645-6978
Provider Business Practice Location Address
First Line : 9889 GATE PKWY N BLDG 200
Second Line : SUITE 201
City : JACKSONVILLE
State : FL
Zip : 32246-9228
Country : US
Telephone Number : 904-645-6976
Fax Number : 904-645-6978
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/22/2011
Last Update Date : 08/26/2016

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Directions to “ CESAR IAN AGUIRRE M.D.” Practice Location

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