Individual
CELIA K NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD, FACS
Contact information
Practice address
600 E DIXIE AVE, LEESBURG, FL 34748-5925
(352) 323-5762
(352) 265-1060
Mailing address
PO BOX 100286, GAINESVILLE, FL 32610-0286
(352) 265-0761
(352) 265-1060
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
ME62340
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
17681
BCBS FLORIDA PROVIDER ID
FL
05
—
370449100
—
FL
01
—
ME62340
MEDICAL LICENSE
FL
Enumeration date
05/05/2006
Last updated
02/23/2022
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