Healthcare Provider Details

I. General information

NPI: 1124554910
Provider Name (Legal Business Name): GELIN J FILS-AIME DPM PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/11/2017
Last Update Date: 04/26/2023
Certification Date: 04/26/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5400 S UNIVERSITY DR STE 301
DAVIE FL
33328-5310
US

IV. Provider business mailing address

5400 S UNIVERSITY DR STE 301
DAVIE FL
33328-5310
US

V. Phone/Fax

Practice location:
  • Phone: 954-361-6151
  • Fax: 954-666-0668
Mailing address:
  • Phone: 954-361-6151
  • Fax: 954-666-0668

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License Number
License Number State

VIII. Authorized Official

Name: DR. GELIN J FILS-AIME
Title or Position: OWNER
Credential: DPM
Phone: 954-270-7302