Individual
DR. CESAR A. ESCUDERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
13440 PARKER COMMONS BLVD, SUITE 105, FORT MYERS, FL 33912-1816
(239) 225-6304
Mailing address
13440 PARKER COMMONS BLVD, SUITE 105, FORT MYERS, FL 33912-1816
(239) 225-6304
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME100644
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
41085
BC/BS
FL
01
—
9932460
CIGNA
FL
01
—
AK804Y
MEDICARE PTAN
FL
Enumeration date
08/15/2007
Last updated
11/15/2011
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