MEDICARE: HOWARD J. GELB MD PA

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	207XX0005X	Sports Medicine (Orthopaedic Surgery) Physician	ME0068172	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	ME0068172	OTHER	FL	MEDICAL LICENSE

General Provider Information

NPI Number	:	1558325332
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOWARD J. GELB MD PA

Provider Business Mailing Address
First Line	:	9980 CENTRAL PARK BLVD N
Second Line	:	SUITE 222
City	:	BOCA RATON
State	:	FL
Zip	:	33428-1704
Country	:	US
Telephone Number	:	561-558-8898
Fax Number	:	561-558-8868

Provider Business Practice Location Address
First Line	:	9980 CENTRAL PARK BLVD N
Second Line	:	SUITE 222
City	:	BOCA RATON
State	:	FL
Zip	:	33428-1704
Country	:	US
Telephone Number	:	561-558-8898
Fax Number	:	561-558-8868

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. HOWARD J. GELB
Credential	:	M.D.
Telephone Number	:	561-558-8898

Provider Enumeration Date	:	04/17/2006
Last Update Date	:	01/09/2012

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