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Organization

DELVIS A CELDRAN MD PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DELVIS A CELDRAN MD (MD)
(772) 335-3255
Entity
Organization

Contact information

Practice address
543 NW LAKE WHITNEY PL, UNIT 105, PORT SAINT LUCIE, FL 34986-1604
(772) 335-3255
(772) 335-3256
Mailing address
PO BOX 882229, PORT SAINT LUCIE, FL 34988-2229
(772) 335-3255
(772) 335-3256

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
275863600
FL
01
DG1486
RAILROAD MEDICARE
FL
Enumeration date
10/04/2006
Last updated
11/14/2008
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