Provider Demographics
NPI:1316900723
Name:KELMAN, GARY J (MD)
Entity type:Individual
Prefix:DR
First Name:GARY
Middle Name:J
Last Name:KELMAN
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Gender:M
Credentials:MD
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Mailing Address - Street 1:350 N PINE ISLAND RD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:PLANTATION
Mailing Address - State:FL
Mailing Address - Zip Code:33324-1849
Mailing Address - Country:US
Mailing Address - Phone:954-476-8800
Mailing Address - Fax:954-476-1362
Practice Address - Street 1:15600 NW 67TH AVE
Practice Address - Street 2:SUITE 306
Practice Address - City:MIAMI LAKES
Practice Address - State:FL
Practice Address - Zip Code:33014-2174
Practice Address - Country:US
Practice Address - Phone:954-476-8800
Practice Address - Fax:954-476-1362
Is Sole Proprietor?:No
Enumeration Date:2006-04-07
Last Update Date:2009-10-22
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Provider Licenses
StateLicense IDTaxonomies
FLME68388207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
28178XMedicare PIN
FLE88950Medicare UPIN