Provider Demographics
NPI:1467710681
Name:FILS-AIME, GELIN JR (DPM)
Entity Type:Individual
Prefix:
First Name:GELIN
Middle Name:
Last Name:FILS-AIME
Suffix:JR
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
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
Is Sole Proprietor?:No
Enumeration Date:2012-04-25
Last Update Date:2023-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPO3546213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLP01078712OtherRR MEDICARE
FL005935900Medicaid
FLGH067ZMedicare PIN