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Organization

CE CEBALLOS MD, LLC

Active
Parent organization
ORTHO FLORIDA, LLC
Other names
Cesar Ceballos MD
Organization subpart
Yes

Provider details

NPI number
Legal business name
ORTHO FLORIDA, LLC
Authorized official
JASON TOCCI (CEO)
(561) 300-1779
Entity
Organization

Contact information

Practice address
11801 SW 90TH ST, SUITE 202, MIAMI, FL 33186-2182
(305) 595-2414
Mailing address
660 GLADES RD, SUITE 460, BOCA RATON, FL 33431-6465
(561) 300-1779

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary

Other

Enumeration date
09/26/2012
Last updated
09/26/2012
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