MEDICARE: JOEL GELLMAN MD

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	207RC0000X	Cardiovascular Disease Physician	ME0085643	FL
2	207RA0001X	Advanced Heart Failure and Transplant Cardiology Physician	ME0085643	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1508855339
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOEL GELLMAN MD

Provider Business Mailing Address
First Line	:	1608 SE 3RD AVE FL 3
Second Line	:
City	:	FT LAUDERDALE
State	:	FL
Zip	:	33316-2564
Country	:	US
Telephone Number	:	954-776-8550
Fax Number	:	954-566-6488

Provider Business Practice Location Address
First Line	:	6405 N FEDERAL HWY STE 200
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33308-1414
Country	:	US
Telephone Number	:	954-776-8550
Fax Number	:	954-566-6488

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

Provider Enumeration Date	:	10/14/2005
Last Update Date	:	01/05/2026

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Directions to “ JOEL GELLMAN MD” Practice Location

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