Organization
CEPERO PEDIATRICS, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BELKIS RAQUEL CEPERO MD (PEDIATRICIAN)
(941) 764-7923
Entity
Organization
Contact information
Practice address
3488 DEPEW AVE, PORT CHARLOTTE, FL 33952-7015
(941) 764-7923
(941) 764-7927
Mailing address
3488 DEPEW AVE, PORT CHARLOTTE, FL 33952-7015
(941) 764-7923
(941) 764-7927
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME99946
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000402000
—
FL
05
—
010456700
—
FL
05
—
305872700
—
FL
Enumeration date
04/05/2012
Last updated
08/18/2016
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