Individual
JAMIE A CESARETTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1561 W FAIRBANKS AVE, SUITE 100, WINTER PARK, FL 32789-4678
(407) 478-4920
(407) 478-4921
Mailing address
7017 A C SKINNER PARKWAY, JACKSONVILLE, FL 32256
(904) 520-6800
(904) 520-6801
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
2233361
NY
2085R0001X
Radiation Oncology Physician
Primary
ME102354
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000285800
—
FL
05
—
02637534
—
NY
01
—
318866
AVMED
FL
01
—
53300
BCBS OF FL
FL
Enumeration date
02/03/2006
Last updated
10/24/2019
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