Healthcare Provider Details

I. General information

NPI: 1851261929
Provider Name (Legal Business Name): CELSA MEDICAL PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/05/2025
Last Update Date: 11/05/2025
Certification Date: 11/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6290 LINTON BLVD STE 203
DELRAY BEACH FL
33484-6409
US

IV. Provider business mailing address

6290 LINTON BLVD STE 203
DELRAY BEACH FL
33484-6409
US

V. Phone/Fax

Practice location:
  • Phone: 305-380-2103
  • Fax:
Mailing address:
  • Phone: 305-380-2103
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License Number
License Number State

VIII. Authorized Official

Name: DR. TAYLOR BERGSTROM
Title or Position: PODIATRIST
Credential: DPM
Phone: 678-373-8114