Provider Demographics
NPI:1801852967
Name:CELY, MARIA SANDRA (MD)
Entity Type:Individual
Prefix:
First Name:MARIA
Middle Name:SANDRA
Last Name:CELY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:615 E PRINCETON ST
Mailing Address - Street 2:SUITE 401
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32803-1456
Mailing Address - Country:US
Mailing Address - Phone:407-898-6005
Mailing Address - Fax:407-898-7722
Practice Address - Street 1:615 E PRINCETON ST
Practice Address - Street 2:SUITE 401
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32803-1456
Practice Address - Country:US
Practice Address - Phone:407-898-6005
Practice Address - Fax:407-898-7722
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-25
Last Update Date:2009-07-06
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MDD00541612084P0800X
FLME1000982080P0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0006XAllopathic & Osteopathic PhysiciansPediatricsDevelopmental - Behavioral Pediatrics
No2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD392100000Medicaid
FL280378000Medicaid
FL280378000Medicaid
MD392100000Medicaid