Individual
PIERRE EDSON CENIZARIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1540 S TAMIAMI TRL STE 303, SARASOTA, FL 34239-2921
(941) 917-8791
(941) 917-8793
Mailing address
PO BOX 863407, SARASOTA, FL 32886-3407
(941) 917-2600
(941) 917-7884
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
0010-02804
NC
363AM0700X
Medical Physician Assistant
Primary
PA9105715
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007196200
—
FL
05
—
1158PA
—
SC
01
—
YOEJ7
BCBS
FL
Enumeration date
02/10/2011
Last updated
04/04/2016
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