Individual
DR. CELSO AGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., MSC
Contact information
Practice address
1625 SE 3RD AVENUE, SUITE 623, FORT LAUDERDALE, FL 33316-2521
(954) 320-3322
(954) 462-7410
Mailing address
1700 NW 49TH ST STE 125, FORT LAUDERDALE, FL 33309-3763
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
036-116408
IL
2084N0400X
Neurology Physician
227395
NY
2084V0102X
Vascular Neurology Physician
Primary
ME 117153
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010834000
—
FL
05
—
02408684
—
NY
01
—
14U19
FLORIDA BLUE (BCBS)
FL
01
—
695540001
PTAN
IL
Enumeration date
05/24/2005
Last updated
04/01/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us