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General NPI Number Information
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NPI Number | 1831490713
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Entity Type | Organization
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Legal Business Name | ANDREW M. GELLADY, MD PA
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Dates
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Enumeration Date | 11/09/2010
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Last Update Date | 11/09/2010
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Provider Practice Location Address
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Address Line | 5323 GRAND BLVD
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City | NEW PORT RICHEY
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State | FL
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Zip | 34652-4014
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Country | US
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Telephone | 727-848-4878
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Fax | 727-846-7269
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Provider Business Mailing Address
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Address Line | 5323 GRAND BLVD.
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City | NEW PORT RICHEY
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State | FL
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Zip | 34652
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Country | US
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Telephone | 727-848-4878
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Fax | 727-846-7269
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Authorized Official
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Title or Position | OWNER
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Name | DR. ANDREW MICHAEL GELLADY
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Credential | M.D,
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Telephone | 727-848-4878
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | ME 26499
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License Number State | FL
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