Individual
DR. CELESTINE UKAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9057 LAUREL RIDGE DR, MOUNT DORA, FL 32757-9108
(352) 267-7547
(352) 385-0966
Mailing address
1878 MAYO DR, TAVARES, FL 32778-4320
(352) 508-5407
(877) 535-4708
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
ME86882
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
268964200
—
FL
01
—
81834
BLUE CROSS BLUE SHIELD
FL
Enumeration date
08/31/2006
Last updated
01/31/2017
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