MEDICARE: CELESTINO C NENINGER MD

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	208VP0014X	Interventional Pain Medicine Physician	ME82167	FL
2	207L00000X	Anesthesiology Physician	ME 82167	FL

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	:	1306887179
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CELESTINO C NENINGER MD

Provider Business Mailing Address
First Line	:	888 BISCAYNE BLVD
Second Line	:	APT 2104
City	:	MIAMI
State	:	FL
Zip	:	33132-1550
Country	:	US
Telephone Number	:	813-391-1089
Fax Number	:

Provider Business Practice Location Address
First Line	:	7111 FAIRWAY DR STE 450
Second Line	:
City	:	PALM BEACH GARDENS
State	:	FL
Zip	:	33418-4200
Country	:	US
Telephone Number	:	561-623-2015
Fax Number	:	561-623-2032

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/10/2006
Last Update Date	:	07/17/2013

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