Provider Demographics
NPI:1194138313
Name:GELB, WENDE (MD)
Entity type:Individual
Prefix:
First Name:WENDE
Middle Name:
Last Name:GELB
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 1:1161 NW 12TH AVE
Mailing Address - Street 2:#6006
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33136-1005
Mailing Address - Country:US
Mailing Address - Phone:305-585-6042
Mailing Address - Fax:305-545-6018
Practice Address - Street 1:1161 NW 12TH AVE
Practice Address - Street 2:#6006
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33136-1005
Practice Address - Country:US
Practice Address - Phone:305-585-6042
Practice Address - Fax:305-545-6018
Is Sole Proprietor?:Yes
Enumeration Date:2014-06-05
Last Update Date:2021-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME144585207P00000X
FLTRN 19751390200000X
NY287963208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
No207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program