Individual
CELENA KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5700 NW 27TH CT, BLDG D, LAUDERHILL, FL 33313-2389
(954) 497-3856
Mailing address
5700 NW 27TH CT, BLDG D, LAUDERHILL, FL 33313-2389
(954) 497-3856
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
760669900
—
FL
Enumeration date
05/29/2008
Last updated
04/20/2012
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