Celso, Brian Gerard

Celso, Brian Gerard is an sole proprietor health care provider with primary practice located at 4114 Herschel St Ste 110 , Jacksonville FL 32210-2200. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Celso, Brian Gerard can be contacted via phone (904) 210-1130.

Contact Information

Primary practice address
4114 Herschel St Ste 110 Jacksonville FL 32210-2200
Phone: (904) 210-1130
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X PY6042 Florida

Profile Details

NPI number 1235102732
LBN Legal business name Celso, Brian Gerard
Credentials PHD.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 7th, 2006
Last updated May 11th, 2026 - about 5 months ago

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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Identifiers

StateTypeNumberIssuer
All States NPI 1235102732 NPPES
Florida MEDICAID 001905600
Florida MEDICAID 268322647A

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