Healthcare Provider Details

I. General information

NPI: 1669583225
Provider Name (Legal Business Name): DR. HERSCHEL A GELFAND
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/31/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7924 PINES BLVD
PEMBROKE PINES FL
33024-6907
US

IV. Provider business mailing address

7924 PINES BLVD
PEMBROKE PINES FL
33024-6907
US

V. Phone/Fax

Practice location:
  • Phone: 954-983-2948
  • Fax: 954-963-8545
Mailing address:
  • Phone: 954-983-2948
  • Fax: 954-963-8545

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberCH4303
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: