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CELESTE HEBRA GRANDE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1950 ARLINGTON ST STE 101, SARASOTA, FL 34239-3508
(941) 917-3400
(941) 917-4300
Mailing address
PO BOX 947407, ATLANTA, GA 30394-7407
(941) 917-2600
(941) 917-7884

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9121190
FL
390200000X
Student in an Organized Health Care Education/Training Program
Primary

Other

Enumeration date
06/09/2025
Last updated
02/04/2026
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