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Individual

HAROLD CESAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
5911 TIMUQUANA RD UNIT 300, JACKSONVILLE, FL 32210
(904) 778-3000
Mailing address
5911 TIMUQUANA RD UNIT 300, JACKSONVILLE, FL 32210-7897
(904) 251-5053
(904) 224-2002

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
PO3626
FL
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
PO3626
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
650A4
BCBS
FL
01
DR7389
RAILROAD MEDICARE
FL
01
DR7390
RAILROAD MEDICARE
FL
Enumeration date
03/27/2010
Last updated
04/17/2024
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