Provider Demographics
NPI:1346622743
Name:GELFOND, DILLOBAR (MD)
Entity Type:Individual
Prefix:
First Name:DILLOBAR
Middle Name:
Last Name:GELFOND
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8152 W BROWARD BLVD STE 103
Mailing Address - Street 2:
Mailing Address - City:PLANTATION
Mailing Address - State:FL
Mailing Address - Zip Code:33324-2035
Mailing Address - Country:US
Mailing Address - Phone:954-255-7310
Mailing Address - Fax:954-255-7311
Practice Address - Street 1:8251 W BROWARD BLVD STE 103
Practice Address - Street 2:
Practice Address - City:PLANTATION
Practice Address - State:FL
Practice Address - Zip Code:33324-2703
Practice Address - Country:US
Practice Address - Phone:954-255-7310
Practice Address - Fax:954-255-7311
Is Sole Proprietor?:Yes
Enumeration Date:2015-06-22
Last Update Date:2021-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL125066130207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine