MEDICARE: DR. GARY J KELMAN M.D.

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	207X00000X	Orthopaedic Surgery Physician	ME68388	FL

General Provider Information

NPI Number	:	1316900723
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. GARY J KELMAN M.D.

Provider Business Mailing Address
First Line	:	350 N PINE ISLAND RD
Second Line	:	SUITE 200
City	:	PLANTATION
State	:	FL
Zip	:	33324-1849
Country	:	US
Telephone Number	:	954-476-8800
Fax Number	:	954-476-1362

Provider Business Practice Location Address
First Line	:	15600 NW 67TH AVE
Second Line	:	SUITE 306
City	:	MIAMI LAKES
State	:	FL
Zip	:	33014-2174
Country	:	US
Telephone Number	:	954-476-8800
Fax Number	:	954-476-1362

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

Provider Enumeration Date	:	04/07/2006
Last Update Date	:	10/22/2009

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