Provider Demographics
NPI:1417238007
Name:GARCIA-PEREZ, CAECILIA M (DO)
Entity Type:Individual
Prefix:DR
First Name:CAECILIA
Middle Name:M
Last Name:GARCIA-PEREZ
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12983 SOUTHERN BLVD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:LOXAHATCHEE
Mailing Address - State:FL
Mailing Address - Zip Code:33470-9254
Mailing Address - Country:US
Mailing Address - Phone:561-793-2500
Mailing Address - Fax:
Practice Address - Street 1:12983 SOUTHERN BLVD
Practice Address - Street 2:SUITE 100
Practice Address - City:LOXAHATCHEE
Practice Address - State:FL
Practice Address - Zip Code:33470-9207
Practice Address - Country:US
Practice Address - Phone:561-793-2500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-09-08
Last Update Date:2011-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS10959208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics