Anal Rectal Clinic PA

Primary specialty

Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X

License

ME92642 Issued in FL

Legal business name

ANAL RECTAL CLINIC PA

Doing business as

Arc

Practice address

40124 Highway 27 Ste 203
Davenport, FL 33837-5905

Phone

(407) 922-3424

NPI assigned

Apr 13, 2010

Last updated

Oct 12, 2010By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Cesare Paolo Peraglie, MD

Title

President

Phone

(407) 922-3424

Specialties & licenses 1

Addresses

Other names 1

• ARC Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "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"
        }
    ]
}

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• Colon & Rectal Surgery Physician in Davenport, FL
• Providers in Davenport, FL by specialty
• Colon & Rectal Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.