Agner, Celso

Agner, Celso is an individual health care provider with primary practice located at 1625 Se 3Rd Avenue Suite 623, Fort Lauderdale FL 33316-2521. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neurology, Allopathic & Osteopathic Physicians / Vascular Neurology. Allopathic & Osteopathic Physicians / Vascular Neurology is his primary health care specialty. Agner, Celso can be contacted via phone (954) 320-3322.

Contact Information

Primary practice address
1625 Se 3Rd Avenue Suite 623 Fort Lauderdale FL 33316-2521
Phone: (954) 320-3322
Fax: (954) 462-7410
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 227395 New York
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 036-116408 Illinois
Allopathic & Osteopathic Physicians / Vascular Neurology 2084V0102X ME 117153 Florida

Profile Details

NPI number 1194728964
LBN Legal business name Agner, Celso
Credentials M.D., MSC
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2005
Last updated Apr 1st, 2024 - about 7 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194728964 NPPES
Florida Other 14U19 FLORIDA BLUE (BCBS)
Florida MEDICAID 010834000 FLORIDA BLUE (BCBS)
Florida MEDICAID 02408684 FLORIDA BLUE (BCBS)
Florida Other 695540001 FLORIDA BLUE (BCBS)

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