Healthcare Provider Details

I. General information

NPI: 1538318431
Provider Name (Legal Business Name): LEO GELINAS PHARM D
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/16/2008
Last Update Date: 09/16/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7305 N MILITARY TRAIL
WEST PALM BEACH FL
33410
US

IV. Provider business mailing address

9833 BAYWINDS DR APT 7203
WEST PALM BEACH FL
33411-1854
US

V. Phone/Fax

Practice location:
  • Phone: 561-422-8262
  • Fax:
Mailing address:
  • Phone: 561-254-2773
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPS40408
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: