Anal Rectal Clinic PA | NPI 1487970679

Key facts

NPI: 1487970679
Entity type: Organization (NPI type 2)
Primary specialty: Colon & Rectal Surgery Physician 208C00000X
License: ME92642 (FL)
Legal business name: ANAL RECTAL CLINIC PA
Practice address: 40124 Highway 27 Ste 203
Davenport, FL 33837-5905
Phone: (407) 922-3424
NPI assigned: Apr 13, 2010
Organization subpart: No

Authorized official

Name: Dr. Cesare Paolo Peraglie, MD
Title: President
Phone: (407) 922-3424

National Provider Directory

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Colon & Rectal Surgery Physician Group: 193400000X SINGLE SPECIALTY GROUP	208C00000X	ME92642	FL	Yes

Addresses

Primary practice location

40124 Highway 27 Ste 203
Davenport, FL 33837-5905

Mailing address

1354 Celebration Avenue
Celebration, FL 34747
Phone (407) 922-3424

Other names

ARC Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Oct 12, 2010.

{
    "created_epoch": "1271116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286841600000",
    "number": "1487970679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1354 CELEBRATION AVENUE",
            "city": "CELEBRATION",
            "state": "FL",
            "postal_code": "34747",
            "telephone_number": "407-922-3424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40124 HIGHWAY 27 STE 203",
            "city": "DAVENPORT",
            "state": "FL",
            "postal_code": "338375905",
            "telephone_number": "407-922-3424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANAL RECTAL CLINIC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-13",
        "last_updated": "2010-10-12",
        "status": "A",
        "authorized_official_last_name": "PERAGLIE",
        "authorized_official_first_name": "CESARE",
        "authorized_official_middle_name": "PAOLO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-922-3424",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208C00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Colon & Rectal Surgery",
            "state": "FL",
            "license": "ME92642",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ARC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Davenport, FL

All providers in Davenport, FL · Colon & Rectal Surgery Physician in Florida

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 12, 2010. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.