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Individual

CESAR M PELLERANO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2999 NE 191ST ST, SUITE 200, AVENTURA, FL 33180-3123
(305) 933-8877
(305) 933-3244
Mailing address
2999 NE 191ST ST, SUITE 200, AVENTURA, FL 33180-3123
(305) 933-8877
(305) 933-3244

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
ME35555
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
024320
NHP
FL
01
206898
AVMED
FL
01
96189
BLUE CROSS BLUE SHIELD
FL
01
P00079248
RAILROAD MEDICARE
FL
Enumeration date
04/03/2007
Last updated
04/29/2008
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