MEDICARE: CELEBRATION OBSTETRICS AND GYNECOLOGY ASSOCIATES PA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207V00000X	Obstetrics & Gynecology Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1144252438
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CELEBRATION OBSTETRICS AND GYNECOLOGY ASSOCIATES PA

Provider Business Mailing Address
First Line	:	410 CELEBRATION PL
Second Line	:	SUITE 208
City	:	CELEBRATION
State	:	FL
Zip	:	34747-5433
Country	:	US
Telephone Number	:	407-566-2229
Fax Number	:	407-566-2499

Provider Business Practice Location Address
First Line	:	410 CELEBRATION PL
Second Line	:	SUITE 208
City	:	CELEBRATION
State	:	FL
Zip	:	34747-5433
Country	:	US
Telephone Number	:	407-566-2229
Fax Number	:	407-566-2499

Authorized Official
Title or Position	:	AUTHORIZED OFFICIAL
Name	:	DAVID A MARCANTEL
Credential	:	MD
Telephone Number	:	877-800-0239

Provider Enumeration Date	:	07/07/2006
Last Update Date	:	03/25/2024

Similar Medicare Providers

1275530628 — DAVID ASHLEY MARCANTEL M.D.
Practice Location Address:

410 CELEBRATION PL , SUITE 208
CELEBRATION, FL
34747-5433

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1184623340 — DR. RICHARD RAOUL LOTENFOE M.D.
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Practice Location Address:

410 CELEBRATION PL , STE 300
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34747-5433

Practice Phone: 321-939-3300
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1699737783 — BOBBY JOHN ARDILA PA-C
Practice Location Address:

410 CELEBRATION PL , SUITE 200
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Practice Location Address:

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1891727418 — JEFFERY S MAGNUSON MD
Practice Location Address:

410 CELEBRATION PL , SUITE 305
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Directions to “CELEBRATION OBSTETRICS AND GYNECOLOGY ASSOCIATES PA ” Practice Location

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