Provider Demographics
NPI:1609023332
Name:MACAPAGAL, CELIA ANGELICA T (APRN)
Entity type:Individual
Prefix:
First Name:CELIA ANGELICA
Middle Name:T
Last Name:MACAPAGAL
Suffix:
Gender:
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2104 MASSEY AVENUE
Mailing Address - Street 2:NS MAYPORT
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32228-0148
Mailing Address - Country:US
Mailing Address - Phone:904-270-4318
Mailing Address - Fax:
Practice Address - Street 1:2104 MASSEY AVENUE
Practice Address - Street 2:NS MAYPORT
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32228-0148
Practice Address - Country:US
Practice Address - Phone:904-270-4318
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-08-25
Last Update Date:2025-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP3034122363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner