Dr Ely D Pelta, MD | |
5441 N University Dr, Suite 102, Coral Springs, FL 33067-4640 | |
(954) 345-8733 | |
(954) 345-8233 |
Full Name | Dr Ely D Pelta |
---|---|
Gender | Male |
Speciality | Psychiatry & Neurology - Psychiatry |
Location | 5441 N University Dr, Coral Springs, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1013923028 | NPI | - | NPPES |
268660100 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | ME59840 (Florida) | Primary |
Entity Name | Fort Lauderdale Hospital Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649224320 PECOS PAC ID: 7911983853 Enrollment ID: O20150729010248 |
Mailing Address | Practice Location Address |
---|---|
Dr Ely D Pelta, MD 5441 N University Dr, Suite 102, Coral Springs, FL 33067-4640 Ph: (954) 345-8733 | Dr Ely D Pelta, MD 5441 N University Dr, Suite 102, Coral Springs, FL 33067-4640 Ph: (954) 345-8733 |
Mahsa Pahlavanzadeh, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 5441 N University Dr Ste 101, Coral Springs, FL 33067 Phone: 954-803-9002 Fax: 954-933-2305 | |
Dr. Paul Wand, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 2232 N University Dr, Suite A, Coral Springs, FL 33071 Phone: 954-344-9722 Fax: 954-741-2126 | |
Dr. Steve Ross Scanlan, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1890 N University Dr, Suite 215, Coral Springs, FL 33071 Phone: 954-227-2700 Fax: 954-227-2704 | |
Jill Liebman, DO Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 5441 N University Dr Ste 101, Coral Springs, FL 33067 Phone: 954-803-9002 Fax: 954-933-2305 | |
Julio Scardini, DO Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1725 N University Dr Ste 350, Coral Springs, FL 33071 Phone: 954-227-2700 | |
Gerald S Goldberg, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 5441 N University Dr Ste 101, Coral Springs, FL 33067 Phone: 954-803-9002 Fax: 954-933-2305 |