Provider Demographics
NPI:1518085711
Name:CELPA, LUIS OSVALDO (AP)
Entity Type:Individual
Prefix:MR
First Name:LUIS
Middle Name:OSVALDO
Last Name:CELPA
Suffix:
Gender:M
Credentials:AP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2702 W TAMPA BAY BLVD
Mailing Address - Street 2:SUITE A
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33607-6816
Mailing Address - Country:US
Mailing Address - Phone:813-875-4444
Mailing Address - Fax:813-876-6992
Practice Address - Street 1:2702 W TAMPA BAY BLVD
Practice Address - Street 2:SUITE A
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33607-6816
Practice Address - Country:US
Practice Address - Phone:813-875-4444
Practice Address - Fax:813-876-6992
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAP 121171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist