Provider Demographics
NPI:1922354927
Name:MEJIA, CESAR RAMIRO (MD)
Entity Type:Individual
Prefix:DR
First Name:CESAR
Middle Name:RAMIRO
Last Name:MEJIA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:17000 PORTER RD
Mailing Address - Street 2:STE 208
Mailing Address - City:CLERMONT
Mailing Address - State:FL
Mailing Address - Zip Code:34711-8800
Mailing Address - Country:US
Mailing Address - Phone:407-905-6014
Mailing Address - Fax:407-654-4113
Practice Address - Street 1:17000 PORTER RD
Practice Address - Street 2:STE 208
Practice Address - City:CLERMONT
Practice Address - State:FL
Practice Address - Zip Code:34711-8800
Practice Address - Country:US
Practice Address - Phone:407-905-6014
Practice Address - Fax:407-654-4113
Is Sole Proprietor?:No
Enumeration Date:2012-07-27
Last Update Date:2020-12-22
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLME112578208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL006323300Medicaid