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JEAN ROBERT CELICOURT CELICOURT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1409 SW 82ND AVE, NORTH LAUDERDALE, FL 33068-3512
(917) 562-9516
Mailing address
1409 SW 82ND AVE, NORTH LAUDERDALE, FL 33068-3512
(917) 562-9516

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
11007843
FL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
11007843
FL

Other

Enumeration date
07/06/2020
Last updated
07/16/2025
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