| Delvis A Celdran Md Pa | |
|
543 Nw Lake Whitney Pl Unit 105 Port Saint Lucie FL 34986-1604 | |
| (772) 335-3255 | |
| (772) 335-3256 |
| Full Name | Delvis A Celdran Md Pa |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 543 Nw Lake Whitney Pl, Port Saint Lucie, Florida |
| Authorized Official Name and Position | Delvis A Celdran (MD) |
| Authorized Official Contact | 7723353255 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Delvis A Celdran Md Pa Po Box 882229 Port Saint Lucie FL 34988-2229 Ph: (772) 335-3255 | Delvis A Celdran Md Pa 543 Nw Lake Whitney Pl Unit 105 Port Saint Lucie FL 34986-1604 Ph: (772) 335-3255 |
| NPI Number | 1871688879 |
|---|---|
| Provider Enumeration Date | 10/04/2006 |
| Last Update Date | 11/14/2008 |
| Medicare PECOS PAC ID | 6406957786 |
|---|---|
| Medicare Enrollment ID | O20070731000398 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871688879 | NPI | - | NPPES |
| 275863600 | Medicaid | FL | |
| DG1486 | Other | FL | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| Provider Name | Delvis A Celdran |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1780649541 PECOS PAC ID: 1153316997 Enrollment ID: I20070501000511 |
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