Provider Demographics
NPI:1780678284
Name:CESAR A EURIBE MD PA
Entity Type:Organization
Organization Name:CESAR A EURIBE MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CESAR
Authorized Official - Middle Name:A
Authorized Official - Last Name:EURIBE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:352-572-9760
Mailing Address - Street 1:2419 SE 22ND PL
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34471-8222
Mailing Address - Country:US
Mailing Address - Phone:352-572-9760
Mailing Address - Fax:
Practice Address - Street 1:2419 SE 22ND PL
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34471-8222
Practice Address - Country:US
Practice Address - Phone:352-572-9760
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-09-12
Last Update Date:2019-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207LA0401XAllopathic & Osteopathic PhysiciansAnesthesiologyAddiction MedicineGroup - Multi-Specialty
No207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL266856400Medicaid
FL34686OtherBLUE SHIELD GRP #
FL34686OtherBLUE SHIELD GRP #
FLDA1014Medicare PIN