Provider Demographics
NPI:1295829919
Name:CACERES, AILEEN (MD, MPH FACOG)
Entity Type:Individual
Prefix:DR
First Name:AILEEN
Middle Name:
Last Name:CACERES
Suffix:
Gender:F
Credentials:MD, MPH FACOG
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15502 STONEYBROOK WEST PKWY
Mailing Address - Street 2:STE 104-241
Mailing Address - City:WINTER GARDEN
Mailing Address - State:FL
Mailing Address - Zip Code:34787-4767
Mailing Address - Country:US
Mailing Address - Phone:407-392-2777
Mailing Address - Fax:407-605-5999
Practice Address - Street 1:1530 CELEBRATION BLVD
Practice Address - Street 2:STE 408
Practice Address - City:CELEBRATION
Practice Address - State:FL
Practice Address - Zip Code:34747-5165
Practice Address - Country:US
Practice Address - Phone:407-392-2777
Practice Address - Fax:407-605-5999
Is Sole Proprietor?:No
Enumeration Date:2006-10-03
Last Update Date:2017-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY232629207V00000X
FLME 98869207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology
No207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology