Provider Demographics
NPI:1669583225
Name:GELFAND, HERSCHEL A
Entity type:Individual
Prefix:DR
First Name:HERSCHEL
Middle Name:A
Last Name:GELFAND
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7924 PINES BLVD
Mailing Address - Street 2:
Mailing Address - City:PEMBROKE PINES
Mailing Address - State:FL
Mailing Address - Zip Code:33024-6907
Mailing Address - Country:US
Mailing Address - Phone:954-983-2948
Mailing Address - Fax:954-963-8545
Practice Address - Street 1:7924 PINES BLVD
Practice Address - Street 2:
Practice Address - City:PEMBROKE PINES
Practice Address - State:FL
Practice Address - Zip Code:33024-6907
Practice Address - Country:US
Practice Address - Phone:954-983-2948
Practice Address - Fax:954-963-8545
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH4303111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor