Individual
DR. CELADIE FIALLO JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
975 BAPTIST WAY, HOMESTEAD, FL 33033-7600
(305) 821-3944
Mailing address
975 BAPTIST WAY, HOMESTEAD, FL 33033-7600
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME0066765
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
376718300
—
FL
Enumeration date
07/30/2006
Last updated
01/28/2021
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