Provider Demographics
NPI:1952527665
Name:CESAR R GAMERO MD LLC
Entity Type:Organization
Organization Name:CESAR R GAMERO MD LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:CESAR
Authorized Official - Middle Name:RAUL
Authorized Official - Last Name:GAMERO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:352-369-9777
Mailing Address - Street 1:9401 SW HIGHWAY 200
Mailing Address - Street 2:BUILDING 2000, SUITE 2004
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34481-9612
Mailing Address - Country:US
Mailing Address - Phone:352-369-9777
Mailing Address - Fax:352-369-9991
Practice Address - Street 1:9401 SW HIGHWAY 200
Practice Address - Street 2:BUILDING 2000, SUITE 2004
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34481-9612
Practice Address - Country:US
Practice Address - Phone:352-369-9777
Practice Address - Fax:352-369-9771
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-18
Last Update Date:2008-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME 95007207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLAB939Medicare PIN