Organization Active NPI

Celebration Primary Care Associates

  • Family Medicine Physician
  • Celebration, FL
National Provider Identifier
1558843748
Registry record updated Sep 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
CELEBRATION PRIMARY CARE ASSOCIATES
Practice address
1530 Celebration Blvd Ste 407
Celebration, FL 34747-5165
Phone
(813) 269-6426
NPI assigned
Sep 4, 2018
Last updated
Sep 4, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Paul Pulcini, MDNPI 1104991728
Title
Ceo
Phone
(813) 269-6429

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

1530 Celebration Blvd Ste 407
Celebration, FL 34747-5165

Mailing address

6101 Webb Rd Ste 203
Tampa, FL 33615-2865
Phone (813) 269-6426

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2323889Celebration Primary Care1530 Celebration Blvd 104, Celebration, FL 34747Certificate of waiverMay 14, 2027

National Provider Directory

National Provider Directory

Locations

1530 Celebration Blvd
Ste 407
Kissimmee, FL 34747
Phone (321) 939-4137

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1536019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1536019200000",
    "number": "1558843748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6101 WEBB RD STE 203",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336152865",
            "telephone_number": "813-269-6426",
            "fax_number": "813-342-5261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1530 CELEBRATION BLVD STE 407",
            "city": "CELEBRATION",
            "state": "FL",
            "postal_code": "347475165",
            "telephone_number": "813-269-6426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CELEBRATION PRIMARY CARE ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-04",
        "last_updated": "2018-09-04",
        "status": "A",
        "authorized_official_last_name": "PULCINI",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "813-269-6429",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Celebration, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.