Provider Demographics
NPI:1326153347
Name:CELLA, JOHN PAUL (MD)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:PAUL
Last Name:CELLA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 2082
Mailing Address - Street 2:
Mailing Address - City:ANNA MARIA
Mailing Address - State:FL
Mailing Address - Zip Code:34216-2082
Mailing Address - Country:US
Mailing Address - Phone:941-704-5348
Mailing Address - Fax:
Practice Address - Street 1:401 N BAY BLVD
Practice Address - Street 2:
Practice Address - City:ANNA MARIA
Practice Address - State:FL
Practice Address - Zip Code:34216-2082
Practice Address - Country:US
Practice Address - Phone:941-704-5348
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-20
Last Update Date:2022-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME68112207KA0200X, 207K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & Immunology
No207KA0200XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyAllergy
Provider Identifiers
StateIdentifier IDID TypeIssuer
F06621Medicare UPIN
26911XMedicare ID - Type Unspecified