Provider Demographics
NPI:1316134935
Name:SOLTANI, CELINE R (DPM, PA)
Entity type:Individual
Prefix:
First Name:CELINE
Middle Name:R
Last Name:SOLTANI
Suffix:
Gender:
Credentials:DPM, PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14426 S MILITARY TRL
Mailing Address - Street 2:
Mailing Address - City:DELRAY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33484-3720
Mailing Address - Country:US
Mailing Address - Phone:561-498-3893
Mailing Address - Fax:800-551-3458
Practice Address - Street 1:14428 S MILITARY TRL UNIT B
Practice Address - Street 2:
Practice Address - City:DELRAY BEACH
Practice Address - State:FL
Practice Address - Zip Code:33484-3720
Practice Address - Country:US
Practice Address - Phone:561-498-3893
Practice Address - Fax:800-551-3458
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-27
Last Update Date:2025-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPO3063213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL340538900Medicaid
FLU0990YMedicare UPIN
FL5390810001Medicare NSC