Provider Demographics
NPI:1457571861
Name:STEVEN GELBARD MD PA
Entity Type:Organization
Organization Name:STEVEN GELBARD MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:
Authorized Official - Last Name:GELBARD
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:954-545-3433
Mailing Address - Street 1:150 S.W. 12TH AVENUE
Mailing Address - Street 2:SUITE 350
Mailing Address - City:POMPANO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33069
Mailing Address - Country:US
Mailing Address - Phone:954-545-3433
Mailing Address - Fax:954-545-4012
Practice Address - Street 1:150 SW 12TH AVE
Practice Address - Street 2:SUITE 350
Practice Address - City:POMPANO BEACH
Practice Address - State:FL
Practice Address - Zip Code:33069-3298
Practice Address - Country:US
Practice Address - Phone:954-545-3433
Practice Address - Fax:954-545-4012
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-26
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0059560207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLA82634Medicare UPIN
FL12159Medicare ID - Type Unspecified