MEDICARE: ELDAR GELIN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171M00000X	Case Manager/Care Coordinator

General Provider Information

NPI Number	:	1194279208
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELDAR GELIN

Provider Business Mailing Address
First Line	:	7261 SW 42ND CT
Second Line	:
City	:	DAVIE
State	:	FL
Zip	:	33314-3100
Country	:	US
Telephone Number	:	305-420-8245
Fax Number	:

Provider Business Practice Location Address
First Line	:	7261 SW 42ND CT
Second Line	:
City	:	DAVIE
State	:	FL
Zip	:	33314-3100
Country	:	US
Telephone Number	:	305-420-8245
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/05/2016
Last Update Date	:	08/05/2016

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Directions to “ ELDAR GELIN ” Practice Location

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