Healthcare Provider Details

I. General information

NPI: 1356391197
Provider Name (Legal Business Name): STEVEN DAVID GELBARD M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/11/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

150 S ANDREWS AVE SUITE #350
POMPANO BEACH FL
33069-3298
US

IV. Provider business mailing address

150 S ANDREWS AVE SUITE #350
POMPANO BEACH FL
33069-3298
US

V. Phone/Fax

Practice location:
  • Phone: 954-545-3433
  • Fax: 954-545-4012
Mailing address:
  • Phone: 954-545-3433
  • Fax: 954-545-4012

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: