Provider Demographics
NPI:1427590173
Name:DAKAY, CESAR TIU III
Entity Type:Individual
Prefix:
First Name:CESAR
Middle Name:TIU
Last Name:DAKAY
Suffix:III
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5866 CHESHIRE COVE TER
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32829-8834
Mailing Address - Country:US
Mailing Address - Phone:407-474-2780
Mailing Address - Fax:
Practice Address - Street 1:5866 CHESHIRE COVE TER
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32829-8834
Practice Address - Country:US
Practice Address - Phone:407-474-2780
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-11-11
Last Update Date:2016-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPTA 26949225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant