Provider Demographics
NPI:1649672528
Name:CELESTIN, WILFRANCE (NP)
Entity type:Individual
Prefix:
First Name:WILFRANCE
Middle Name:
Last Name:CELESTIN
Suffix:
Gender:M
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7900 NW 27TH AVE STE D10
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33147-4925
Mailing Address - Country:US
Mailing Address - Phone:054-034-0033
Mailing Address - Fax:305-403-4006
Practice Address - Street 1:7900 NW 27TH AVE STE D10
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33147-4925
Practice Address - Country:US
Practice Address - Phone:054-034-0033
Practice Address - Fax:305-403-4006
Is Sole Proprietor?:No
Enumeration Date:2014-09-22
Last Update Date:2024-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9355875363L00000X, 363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner