Provider Demographics
NPI:1497423651
Name:FILDES, CENA
Entity Type:Individual
Prefix:
First Name:CENA
Middle Name:
Last Name:FILDES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4119 PEBBLEBROOK CT
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32820-1408
Mailing Address - Country:US
Mailing Address - Phone:321-804-7098
Mailing Address - Fax:
Practice Address - Street 1:4119 PEBBLEBROOK CT
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32820-1408
Practice Address - Country:US
Practice Address - Phone:321-804-7098
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-09-02
Last Update Date:2021-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist