Individual
CELINA GORUT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
440 SAWGRASS CORPORATE PKWY STE 106, SUNRISE, FL 33325-6236
(954) 727-0821
Mailing address
440 SAWGRASS CORPORATE PKWY STE 106, SUNRISE, FL 33325-6236
(954) 727-0821
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
G630100818110
FL
Other
Enumeration date
09/05/2012
Last updated
09/05/2012
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