Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207K00000X | Allergist & Immunologist | ME68112 | FL |
N | 207KA0200X | Allergist | ME68112 | FL |
NPI | 1326153347 |
---|---|
Provider Name | Dr. John Paul Cella |
First Address | Bradenton, FL 34209-2361 |
Second Address | Bradenton, FL 34209-5605 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/08/2006 |
Last Update Date | 13/11/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
F06621 | (02) |