Provider Demographics
NPI:1124554910
Name:GELIN J FILS-AIME DPM PA
Entity Type:Organization
Organization Name:GELIN J FILS-AIME DPM PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:GELIN
Authorized Official - Middle Name:J
Authorized Official - Last Name:FILS-AIME
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:954-270-7302
Mailing Address - Street 1:5400 S UNIVERSITY DR STE 301
Mailing Address - Street 2:
Mailing Address - City:DAVIE
Mailing Address - State:FL
Mailing Address - Zip Code:33328-5310
Mailing Address - Country:US
Mailing Address - Phone:954-361-6151
Mailing Address - Fax:954-666-0668
Practice Address - Street 1:5400 S UNIVERSITY DR STE 301
Practice Address - Street 2:
Practice Address - City:DAVIE
Practice Address - State:FL
Practice Address - Zip Code:33328-5310
Practice Address - Country:US
Practice Address - Phone:954-361-6151
Practice Address - Fax:954-666-0668
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-05-11
Last Update Date:2023-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty