MEDICARE: CEPERO PEDIATRICS, P.A.

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	208000000X	Pediatrics Physician	ME99946	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1619233509
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CEPERO PEDIATRICS, P.A.

Provider Business Mailing Address
First Line	:	3488 DEPEW AVE
Second Line	:
City	:	PORT CHARLOTTE
State	:	FL
Zip	:	33952-7015
Country	:	US
Telephone Number	:	941-764-7923
Fax Number	:	941-764-7927

Provider Business Practice Location Address
First Line	:	3488 DEPEW AVE
Second Line	:
City	:	PORT CHARLOTTE
State	:	FL
Zip	:	33952-7015
Country	:	US
Telephone Number	:	941-764-7923
Fax Number	:	941-764-7927

Authorized Official
Title or Position	:	PEDIATRICIAN
Name	:	BELKIS RAQUEL CEPERO
Credential	:	MD
Telephone Number	:	941-764-7923

Provider Enumeration Date	:	04/05/2012
Last Update Date	:	08/18/2016

Similar Medicare Providers

1538132105 — MRS. DENISE MUELLER-BARKER ARNP
Practice Location Address:

3488 DEPEW AVE
PORT CHARLOTTE, FL
33952-7015

Practice Phone: 941-764-7923
Practice Fax: 941-764-7927

1467416982 — BELKIS RAQUEL CEPERO M.D.
Practice Location Address:

3488 DEPEW AVE
PORT CHARLOTTE, FL
33952-7015

Practice Phone: 941-764-7923
Practice Fax: 941-764-7927

1821213323 — MANUEL GALLEGO MD PA
Practice Location Address:

3466 DEPEW AVE
PORT CHARLOTTE, FL
33952-7015

Practice Phone: 941-764-6300
Practice Fax: 941-764-7297

1376722702 — DR. EDWARD FRANCIS TILSON PH.D.
Practice Location Address:

3432 DEPEW AVE
PORT CHARLOTTE, FL
33952-7015

Practice Phone: 239-265-6151
Practice Fax: 239-561-3646

1417253618 — MISSION UNITY INC
Practice Location Address:

3512 DEPEW AVE
PORT CHARLOTTE, FL
33952-7015

Practice Phone: 941-286-1158
Practice Fax: 800-867-1804

1497152953 — PAMELA ROSANN COCHRAN LMHC
Practice Location Address:

3512 DEPEW AVE
PORT CHARLOTTE, FL
33952-7015

Practice Phone: 941-286-2861
Practice Fax:

Directions to “CEPERO PEDIATRICS, P.A. ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.