Celicourt, Jean Robert Celicourt

Celicourt, Jean Robert Celicourt is an sole proprietor health care provider with primary practice located at 1409 Sw 82Nd Ave , North Lauderdale FL 33068-3512. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is his primary health care specialty. Celicourt, Jean Robert Celicourt can be contacted via phone (917) 562-9516.

Contact Information

Primary practice address
1409 Sw 82Nd Ave North Lauderdale FL 33068-3512
Phone: (917) 562-9516
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 11007843 Florida
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 11007843 Florida

Profile Details

NPI number 1164049250
LBN Legal business name Celicourt, Jean Robert Celicourt
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 6th, 2020
Last updated Jul 16th, 2025 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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