Provider Demographics
NPI:1215925359
Name:POY-WING, CELINA (MD)
Entity type:Individual
Prefix:DR
First Name:CELINA
Middle Name:
Last Name:POY-WING
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4841 SW 76TH AVE
Mailing Address - Street 2:
Mailing Address - City:DAVIE
Mailing Address - State:FL
Mailing Address - Zip Code:33328-3805
Mailing Address - Country:US
Mailing Address - Phone:954-474-2500
Mailing Address - Fax:954-424-2948
Practice Address - Street 1:817 S UNIVERSITY DR
Practice Address - Street 2:SUITE 100A
Practice Address - City:PLANTATION
Practice Address - State:FL
Practice Address - Zip Code:33324-3309
Practice Address - Country:US
Practice Address - Phone:954-474-2500
Practice Address - Fax:954-424-2948
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-12
Last Update Date:2011-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME41607174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL067358700Medicaid
FL067358700Medicaid