Provider Demographics
NPI:1578884607
Name:GILLINOV, SHELDON JERRY (MD)
Entity Type:Individual
Prefix:DR
First Name:SHELDON
Middle Name:JERRY
Last Name:GILLINOV
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:19586 BAY VIEW ROAD
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33434-5101
Mailing Address - Country:US
Mailing Address - Phone:561-852-2306
Mailing Address - Fax:561-852-2388
Practice Address - Street 1:225 S CONGRESS AVE
Practice Address - Street 2:
Practice Address - City:DELRAY BEACH
Practice Address - State:FL
Practice Address - Zip Code:33445-4616
Practice Address - Country:US
Practice Address - Phone:561-274-3100
Practice Address - Fax:561-837-5332
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-11
Last Update Date:2012-12-21
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLME105949207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology