Provider Demographics
NPI:1538125000
Name:PERAGLIE, CESARE PAOLO (MD)
Entity Type:Individual
Prefix:
First Name:CESARE
Middle Name:PAOLO
Last Name:PERAGLIE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:339 CYPRESS PKWY STE 210
Mailing Address - Street 2:
Mailing Address - City:KISSIMMEE
Mailing Address - State:FL
Mailing Address - Zip Code:34759-3315
Mailing Address - Country:US
Mailing Address - Phone:073-431-8254
Mailing Address - Fax:073-439-2314
Practice Address - Street 1:339 CYPRESS PKWY STE 210
Practice Address - Street 2:
Practice Address - City:KISSIMMEE
Practice Address - State:FL
Practice Address - Zip Code:34759-3315
Practice Address - Country:US
Practice Address - Phone:407-343-1825
Practice Address - Fax:407-343-9231
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-25
Last Update Date:2018-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ5625174400000X
FLME92642208C00000X, 208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Multi-Specialty
No174400000XOther Service ProvidersSpecialist
No208C00000XAllopathic & Osteopathic PhysiciansColon & Rectal SurgeryGroup - Multi-Specialty