Doctor Name: | DR. ANDRE CELESTIN |
NPI Number: | 1649230202 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | ME83638 |
Business Practice Address: | 4698 Forest Hill Blvd Suite B West Palm Beach, FL - 334155719 |
Business Phone Number: | 5619693435 |
Business Fax Number: | 5619693107 |
Mailing Address: | 4698 Forest Hill Blvd, Suite B WEST PALM BEACH |
State: | FL |
Postal Code: | 334155719 |
Phone Number: | 5619693435 |
Fax Number: | 5619693107 |
NPI Enumeration Date: | 03/27/2006 |
NPI Last Update Date: | 05/06/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | ME83638 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |