Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0106X | Orthopaedic Hand Surgeon | ME69537 | FL |
NPI | 1316053606 |
---|---|
Provider Name | Dr. Harris Gellman |
First Address | Coral Springs, FL 33065-4138 |
Second Address | Coral Springs, FL 33065-4137 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 21/08/2006 |
Last Update Date | 17/04/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
B50870 | (02) | FL |