MEDICARE: MISS CELDA R MAJFUD ARNP

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	363LF0000X	Family Nurse Practitioner	ARNP938322	FL

General Provider Information

NPI Number	:	1437489465
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MISS CELDA R MAJFUD ARNP

Provider Business Mailing Address
First Line	:	4779 COLLINS AVE
Second Line	:	# 508
City	:	MIAMI BEACH
State	:	FL
Zip	:	33140-3251
Country	:	US
Telephone Number	:	786-276-1967
Fax Number	:

Provider Business Practice Location Address
First Line	:	4779 COLLINS AVE
Second Line	:	# 508
City	:	MIAMI BEACH
State	:	FL
Zip	:	33140-3251
Country	:	US
Telephone Number	:	786-276-1967
Fax Number	:

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

Provider Enumeration Date	:	01/14/2010
Last Update Date	:	02/16/2010

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