Organization Name: | FAMILY PRACTICE OF CELEBRATION, PLC |
NPI Number: | 1821259904 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JOHN A PFEIFFER (CEO) |
Mailing Address: | 660 Celebration Ave Ste 180 Celebration |
State: | FL US |
Postal Code: | 347474926 |
Phone Number: | 4075661559 |
Fax Number: | 4075661604 |
NPI Enumeration Date: | 06/20/2008 |
NPI Last Update Date: | 11/21/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | ME74805 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |