Correa, Celeste M.
Correa, Celeste M. is an individual health care provider with primary practice located at 636 Del Prado Blvd S Ste A5510 , Cape Coral FL 33990. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Correa, Celeste M. can be contacted via phone (239) 343-9237.Contact Information
Primary practice address
636 Del Prado Blvd S Ste A5510
Cape Coral FL 33990
Phone: (239) 343-9237
Fax: (239) 343-9218
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ME133995 | Florida |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 1064131778 | Arizona |
Profile Details
| NPI number | 1114909926 |
|---|---|
| LBN Legal business name | Correa, Celeste M. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 17th, 2005 |
| Last updated | Jan 17th, 2022 - about 2 years 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1114909926 | NPPES |
| Arizona | MEDICAID | 451964 | |
| Arizona | MEDICAID | 023068200 |
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