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Contact Information

CAESAR S. DIVINO D.P.M. PA
3065 HIGHWAY 367 S
SUITE 11
CABOT, AR72023-8660
 Phone: 501-941-3797
 Fax: 501-941-7760
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for CAESAR S. DIVINO D.P.M. PA

NPI Number 1811280894
LBN Legal business name CAESAR S. DIVINO D.P.M. PA
Authorized official HECTOR DIVINO - (OFFICE MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 05/24/2011
Last updated 05/24/2011 - About 15 years ago
Identifiers
AR License # 164
AR Medicaid 145589748
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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