MEDICARE: ELIZABETH CELESTIN APRN

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	363L00000X	Nurse Practitioner	11018987	FL

General Provider Information

NPI Number	:	1316680192
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELIZABETH CELESTIN APRN

Provider Business Mailing Address
First Line	:	3320 N FEDERAL HWY
Second Line	:
City	:	LIGHTHOUSE POINT
State	:	FL
Zip	:	33064-6885
Country	:	US
Telephone Number	:	786-718-7128
Fax Number	:

Provider Business Practice Location Address
First Line	:	3320 N FEDERAL HWY
Second Line	:
City	:	LIGHTHOUSE POINT
State	:	FL
Zip	:	33064-6885
Country	:	US
Telephone Number	:	754-222-6642
Fax Number	:	954-943-1014

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

Provider Enumeration Date	:	04/19/2022
Last Update Date	:	03/05/2026

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