Healthcare Provider Details

I. General information

NPI: 1710240700
Provider Name (Legal Business Name): GELBARD NEUROSURGERY, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/25/2012
Last Update Date: 06/25/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

911 E ATLANTIC BLVD SUITE 104
POMPANO BEACH FL
33060-7372
US

IV. Provider business mailing address

911 E ATLANTIC BLVD SUITE 104
POMPANO BEACH FL
33060-7372
US

V. Phone/Fax

Practice location:
  • Phone: 954-545-3433
  • Fax:
Mailing address:
  • Phone: 954-545-3433
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License NumberME59560
License Number StateFL

VIII. Authorized Official

Name: DR. STEVEN D GELBARD
Title or Position: OWNER
Credential: MD
Phone: 954-735-6900