Celeste S Soberano MD PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME78567 Issued in FL

Legal business name

CELESTE S SOBERANO MD PA

Practice address

8833 Perimeter Park Blvd
Suite 401
Jacksonville, FL 32216-1109

Phone

(904) 996-8090

NPI assigned

Feb 25, 2008

Last updated

Sep 25, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Celeste S Soberano, MD PANPI 1285625467

Title

Doctor

Phone

(904) 996-8090

Specialties & licenses 1

Addresses

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/3713/brand/1/csg/1/fhir/r4

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.

• Celeste S Soberano, M.D.

  • Internal Medicine Physician
  • Jacksonville, FL
  • NPI 1285625467
  Authorized official Same address or phone

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

{
    "created_epoch": "1203897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348531200000",
    "number": "1659540565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8833 PERIMETER PARK BLVD",
            "address_2": "SUITE 401",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322161109",
            "telephone_number": "904-996-8090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8833 PERIMETER PARK BLVD",
            "address_2": "SUITE 401",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322161109",
            "telephone_number": "904-996-8090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CELESTE S SOBERANO MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-25",
        "last_updated": "2012-09-25",
        "status": "A",
        "authorized_official_last_name": "SOBERANO",
        "authorized_official_first_name": "CELESTE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "904-996-8090",
        "authorized_official_credential": "MD PA"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME78567",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Cedeno Kelly, M.D.
• Carmelo Cedres, MD
• Daniel J Ceglowski, MD
• Eric Lee Ceithaml, M.D.
• Celearn Loving Care Agency, LLC
• Celloscope Inc (OneStep Digital PT)
• Steven Celmins, DO
• Brian Gerard Celso, PHD.
• Annalie Sebrio Celzo, LPC
• Brandon Centeno, ATC, LAT

• Internal Medicine Physician in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.