Provider Demographics
NPI:1790732956
Name:ORDUNA, CAESAR C (MD)
Entity Type:Individual
Prefix:
First Name:CAESAR
Middle Name:C
Last Name:ORDUNA
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:PO BOX 705
Mailing Address - Street 2:
Mailing Address - City:PAHOKEE
Mailing Address - State:FL
Mailing Address - Zip Code:33476-0705
Mailing Address - Country:US
Mailing Address - Phone:561-924-5541
Mailing Address - Fax:561-924-5421
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:561-924-5421
Is Sole Proprietor?:No
Enumeration Date:2006-05-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0021879208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
D85881Medicare UPIN
50687Medicare ID - Type Unspecified