Healthcare Provider Details

I. General information

NPI: 1285031948
Provider Name (Legal Business Name): BEATRICE AIME CELIAN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/24/2014
Last Update Date: 02/04/2026
Certification Date: 02/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1050 GRAPE AVE
SAINT CLOUD FL
34769-3965
US

IV. Provider business mailing address

8010 SUNPORT DR STE 116
ORLANDO FL
32809-7897
US

V. Phone/Fax

Practice location:
  • Phone: 407-943-8600
  • Fax:
Mailing address:
  • Phone: 407-426-4797
  • Fax: 407-401-9477

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number18761
License Number StatePR
# 2
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License NumberME145023
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: