| Celestino Santi Do Pa | |
|
1300 E Burleigh Blvd Tavares FL 32778-4305 | |
| (352) 742-1500 | |
| (352) 742-2530 |
| Full Name | Celestino Santi Do Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 1300 E Burleigh Blvd, Tavares, Florida |
| Authorized Official Name and Position | Celestino David Santi (PHYSICIAN) |
| Authorized Official Contact | 3527421500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Celestino Santi Do Pa 1300 E Burleigh Blvd Tavares FL 32778-4305 Ph: (352) 742-1500 | Celestino Santi Do Pa 1300 E Burleigh Blvd Tavares FL 32778-4305 Ph: (352) 742-1500 |
| NPI Number | 1043438161 |
|---|---|
| Provider Enumeration Date | 04/23/2007 |
| Last Update Date | 11/30/2023 |
| Medicare PECOS PAC ID | 7911156153 |
|---|---|
| Medicare Enrollment ID | O20121004000161 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043438161 | NPI | - | NPPES |
| 062412800 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | OS5119 (Florida) | Primary |
| Provider Name | Celestino D Santi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164427332 PECOS PAC ID: 9335197367 Enrollment ID: I20050708000628 |
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