MEDICARE: DR. FRANCINE L. GELFAND 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	2084P0804X	Child & Adolescent Psychiatry Physician	0019247	FL

General Provider Information

NPI Number	:	1497923627
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. FRANCINE L. GELFAND M.D.

Provider Business Mailing Address
First Line	:	1966 BRIDGEWATER DR
Second Line	:
City	:	LAKE MARY
State	:	FL
Zip	:	32746-6907
Country	:	US
Telephone Number	:	407-804-0045
Fax Number	:	407-804-0045

Provider Business Practice Location Address
First Line	:	1966 BRIDGEWATER DR
Second Line	:
City	:	LAKE MARY
State	:	FL
Zip	:	32746-6907
Country	:	US
Telephone Number	:	407-804-0045
Fax Number	:	407-804-0045

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

Provider Enumeration Date	:	02/11/2008
Last Update Date	:	02/11/2008

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