Organization
CELEN MEDICAL GROUP, CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NOSLEN SANCHEZ MESA (PRESIDENT/CEO)
(305) 587-2418
Entity
Organization
Contact information
Practice address
7930 NW 36TH ST STE 215, DORAL, FL 33166-6677
(305) 677-9110
(305) 677-9111
Mailing address
7930 NW 36TH ST STE 215, DORAL, FL 33166-6677
(305) 677-9110
(877) 347-5666
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207QA0505X
Adult Medicine Physician
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
261QR1100X
Research Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
020648800
—
FL
05
—
104412200
—
FL
01
—
HCC12379
AHCA
FL
Enumeration date
11/15/2016
Last updated
06/26/2022
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