Healthcare Provider Details

I. General information

NPI: 1497923627
Provider Name (Legal Business Name): FRANCINE L. GELFAND M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/11/2008
Last Update Date: 02/11/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1966 BRIDGEWATER DR
LAKE MARY FL
32746-6907
US

IV. Provider business mailing address

1966 BRIDGEWATER DR
LAKE MARY FL
32746-6907
US

V. Phone/Fax

Practice location:
  • Phone: 407-804-0045
  • Fax: 407-804-0045
Mailing address:
  • Phone: 407-804-0045
  • Fax: 407-804-0045

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License Number0019247
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: