MEDICARE: DR. STEVEN DAVID GELBARD 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	174400000X	Specialist	ME59560	FL

General Provider Information

NPI Number	:	1356391197
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. STEVEN DAVID GELBARD M.D.

Provider Business Mailing Address
First Line	:	150 S ANDREWS AVE
Second Line	:	SUITE #350
City	:	POMPANO BEACH
State	:	FL
Zip	:	33069-3298
Country	:	US
Telephone Number	:	954-545-3433
Fax Number	:	954-545-4012

Provider Business Practice Location Address
First Line	:	150 S ANDREWS AVE
Second Line	:	SUITE #350
City	:	POMPANO BEACH
State	:	FL
Zip	:	33069-3298
Country	:	US
Telephone Number	:	954-545-3433
Fax Number	:	954-545-4012

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

Provider Enumeration Date	:	05/11/2006
Last Update Date	:	07/08/2007

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