Healthcare Provider Details

I. General information

NPI: 1740739986
Provider Name (Legal Business Name): MARLA E GELTNER APRN-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/29/2016
Last Update Date: 07/30/2021
Certification Date: 07/30/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1150 CAMPO SANO AVE
CORAL GABLES FL
33146-1174
US

IV. Provider business mailing address

PO BOX 100905
ATLANTA GA
30384-0905
US

V. Phone/Fax

Practice location:
  • Phone: 786-268-6200
  • Fax:
Mailing address:
  • Phone: 786-268-6200
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAPRN9204615
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License NumberAPRN4204615
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: