Healthcare Provider Details

I. General information

NPI: 1710214317
Provider Name (Legal Business Name): JULES ANDRE GELIN OTR/L
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/03/2009
Last Update Date: 04/11/2025
Certification Date: 04/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1800 SANS SOUCI BLVD APT 232
NORTH MIAMI FL
33181-3068
US

IV. Provider business mailing address

1601 SW ARCHER RD
GAINESVILLE FL
32608-1135
US

V. Phone/Fax

Practice location:
  • Phone: 786-280-9923
  • Fax:
Mailing address:
  • Phone: 352-376-1611
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License NumberOT11737
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: