Individual
CELESTE F DANFORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1350 S HICKORY ST, MELBOURNE, FL 32901-3224
(321) 434-1771
(321) 434-1775
Mailing address
3300 S FISKE BLVD, ROCKLEDGE, FL 32955-4306
(321) 434-1771
(321) 951-7408
Taxonomy
Speciality
Code
Description
License number
State
363LC0200X
Critical Care Medicine Nurse Practitioner
Primary
ARNP2224752
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001430000
—
FL
01
—
CI495Z
MEDICARE
FL
Enumeration date
06/11/2009
Last updated
04/09/2019
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