Healthcare Provider Details

I. General information

NPI: 1316053606
Provider Name (Legal Business Name): HARRIS GELLMAN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/21/2006
Last Update Date: 02/15/2025
Certification Date: 02/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

745 MEADOWS RD STE 200
BOCA RATON FL
33486-2324
US

IV. Provider business mailing address

745 MEADOWS RD STE 200
BOCA RATON FL
33486-2324
US

V. Phone/Fax

Practice location:
  • Phone: 561-955-6784
  • Fax: 833-625-1611
Mailing address:
  • Phone: 561-955-6784
  • Fax: 833-625-1611

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207XS0106X
TaxonomyOrthopaedic Hand Surgery Physician
License NumberME69537
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: