Provider Demographics
NPI:1740219435
Name:CAESAR C. ORDUNA, M.D., P.A.
Entity Type:Organization
Organization Name:CAESAR C. ORDUNA, M.D., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CAESAR
Authorized Official - Middle Name:C
Authorized Official - Last Name:ORDUNA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:561-924-5541
Mailing Address - Street 1:3127 BACOM POINT RD
Mailing Address - Street 2:
Mailing Address - City:PAHOKEE
Mailing Address - State:FL
Mailing Address - Zip Code:33476-2909
Mailing Address - Country:US
Mailing Address - Phone:561-924-5541
Mailing Address - Fax:
Practice Address - Street 1:3127 BACOM POINT RD
Practice Address - Street 2:
Practice Address - City:PAHOKEE
Practice Address - State:FL
Practice Address - Zip Code:33476-2909
Practice Address - Country:US
Practice Address - Phone:561-924-5541
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0021879207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLD85881Medicare UPIN