# CE CEBALLOS MD, LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** ORTHO FLORIDA, LLC
- **Other names:** Cesar Ceballos MD
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1669723953
- **Legal business name:** ORTHO FLORIDA, LLC
- **Authorized official:** JASON TOCCI (CEO)
- **Authorized official phone:** (561) 300-1779

## Contact information

- **Practice address:** 11801 SW 90TH ST, SUITE 202, MIAMI, FL 33186-2182
- **Practice address phone:** (305) 595-2414
- **Mailing address:** 660 GLADES RD, SUITE 460, BOCA RATON, FL 33431-6465
- **Mailing address phone:** (561) 300-1779

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | Yes |
| 207X00000X | Orthopaedic Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/26/2012
- **Last updated:** 09/26/2012