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

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 PA

Title

Doctor

Phone

(904) 996-8090

Specialties & licenses 1

Addresses

Interoperability endpoints

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

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
• 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.