Healthcare Provider Details

I. General information

NPI: 1083901102
Provider Name (Legal Business Name): CELINE MARIE CATTIER M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/10/2011
Last Update Date: 06/20/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

92 W MILLER ST
ORLANDO FL
32806-2032
US

IV. Provider business mailing address

92 W MILLER ST
ORLANDO FL
32806-2032
US

V. Phone/Fax

Practice location:
  • Phone: 321-841-2245
  • Fax: 321-843-6624
Mailing address:
  • Phone: 321-841-2245
  • Fax: 321-843-6624

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number4301098544
License Number StateMI
# 2
Primary TaxonomyY
Taxonomy Code2080H0002X
TaxonomyPediatric Hospice and Palliative Medicine Physician
License NumberME128508
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: