Provider Demographics
NPI:1366521700
Name:CECILIA PANLILIO PINEDA MD CORP
Entity type:Organization
Organization Name:CECILIA PANLILIO PINEDA MD CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CECILIA
Authorized Official - Middle Name:PANLILIO
Authorized Official - Last Name:PINEDA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:407-365-0800
Mailing Address - Street 1:P.O. BOX 2342
Mailing Address - Street 2:
Mailing Address - City:WINDERMERE
Mailing Address - State:FL
Mailing Address - Zip Code:34786-2342
Mailing Address - Country:US
Mailing Address - Phone:407-365-0800
Mailing Address - Fax:407-365-7240
Practice Address - Street 1:2959 ALAFAYA TRL
Practice Address - Street 2:117
Practice Address - City:OVIEDO
Practice Address - State:FL
Practice Address - Zip Code:32765-9482
Practice Address - Country:US
Practice Address - Phone:407-365-0800
Practice Address - Fax:407-365-7240
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-05
Last Update Date:2012-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0071198261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center