Organization
CESAR LLANERA JR MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CESAR L. LLANERA MD (OWNER)
(850) 477-5610
Entity
Organization
Contact information
Practice address
545 BRENT LN, PENSACOLA, FL 32503-2003
(850) 477-5610
(850) 477-8319
Mailing address
PO BOX 30027, PENSACOLA, FL 32503-1027
(850) 477-5610
(850) 477-8319
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
—
—
208VP0000X
Pain Medicine Physician
—
—
208VP0014X
Interventional Pain Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
270913900
—
FL
05
—
529922550
—
AL
01
—
DE0446
MEDICARE RAILROAD
FL
Enumeration date
11/30/2005
Last updated
10/31/2019
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