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:
Health care specialties
| Specialty | Code | License # | 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 last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| 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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