Individual
CELESTE MICHELLE VICKERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1061 MEDICAL CENTER DR STE 102, ORANGE CITY, FL 32763-8225
(386) 917-7668
(386) 456-1206
Mailing address
1061 MEDICAL CENTER DR STE 102, ORANGE CITY, FL 32763-8225
(386) 917-7668
(386) 456-1206
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS19786
FL
Other
Enumeration date
03/26/2020
Last updated
09/19/2023
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