Provider Demographics
NPI:1134463581
Name:CELESTIN, MARIE GERLYNE (RESPIRATORY THERAPY)
Entity Type:Individual
Prefix:MRS
First Name:MARIE
Middle Name:GERLYNE
Last Name:CELESTIN
Suffix:
Gender:F
Credentials:RESPIRATORY THERAPY
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
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Mailing Address - Street 1:1168 NW 116TH ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33168-6227
Mailing Address - Country:US
Mailing Address - Phone:305-926-4281
Mailing Address - Fax:786-274-1346
Practice Address - Street 1:1168 NW 116TH ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33168-6227
Practice Address - Country:US
Practice Address - Phone:305-926-4281
Practice Address - Fax:786-274-1346
Is Sole Proprietor?:Yes
Enumeration Date:2012-11-23
Last Update Date:2012-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRT11826227900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes227900000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, Registered