Healthcare Provider Details

I. General information

NPI: 1346293222
Provider Name (Legal Business Name): DONALD BLAIR GELDART MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/19/2006
Last Update Date: 12/07/2025
Certification Date: 04/13/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1006 W PLEASANT ST
AVON PARK FL
33825-2966
US

IV. Provider business mailing address

1006 W PLEASANT ST
AVON PARK FL
33825-2966
US

V. Phone/Fax

Practice location:
  • Phone: 863-453-3121
  • Fax: 863-452-2823
Mailing address:
  • Phone: 863-453-3121
  • Fax: 863-452-2823

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207QH0002X
TaxonomyHospice and Palliative Medicine (Family Medicine) Physician
License NumberME27412
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberME27412
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberME27412
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: