Healthcare Provider Details

I. General information

NPI: 1285111054
Provider Name (Legal Business Name): JANICE GELHOT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/25/2018
Last Update Date: 07/25/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

232 SECRET WAY
CASSELBERRY FL
32707-3362
US

IV. Provider business mailing address

478 E ALTAMONTE DR STE 108
ALTAMONTE SPRINGS FL
32701-4622
US

V. Phone/Fax

Practice location:
  • Phone: 407-389-9203
  • Fax:
Mailing address:
  • Phone: 407-389-9203
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code373H00000X
TaxonomyDay Training/Habilitation Specialist
License Number
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: