Doctor Name: | MARIE YOLETTE CELOGE |
NPI Number: | 1073848834 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | ACN 309 |
Business Practice Address: | 6350 Sunset Dr South Miami, FL - 331434836 |
Business Phone Number: | 3052935500 |
Business Fax Number: | |
Mailing Address: | 10300 Sw 216th St, CUTLER BAY |
State: | FL |
Postal Code: | 331901003 |
Phone Number: | 3052535100 |
Fax Number: | |
NPI Enumeration Date: | 10/13/2009 |
NPI Last Update Date: | 03/14/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | ACN 309 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |