Individual
SCOTT RAYMOND CAESAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8931 COLONIAL CENTER DR, SUITE 100, FORT MYERS, FL 33905-7809
(239) 458-1196
(239) 458-1345
Mailing address
2234 COLONIAL BLVD, ATTN: PAYER CONTRACTING & RELATIONS DEPT., FORT MYERS, FL 33907-1412
(239) 931-7342
(239) 931-7385
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
MD449472
PA
208800000X
Urology Physician
Primary
ME118670
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1192953
MEDICAID-STAYWELL
FL
01
—
14V78
BCBS
FL
01
—
374854
AVMED
FL
01
—
4144646
AETNA
FL
01
—
9701950
CIGNA
FL
01
—
P01807142
CLEAR HEALTH ALLIANCE
FL
01
—
P1020013
FREEDOM
FL
01
—
P959333
OPTIMUM
FL
Enumeration date
05/27/2009
Last updated
03/16/2017
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