Pelta, Ely D
Pelta, Ely D is an sole proprietor health care provider with primary practice located at 5441 N University Dr Suite 102, Coral Springs FL 33067-4640. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Pelta, Ely D can be contacted via phone (954) 345-8733.Contact Information
Primary practice address
5441 N University Dr Suite 102
Coral Springs FL 33067-4640
Phone: (954) 345-8733
Fax: (954) 345-8233
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | ME59840 | Florida |
Profile Details
| NPI number | 1013923028 |
|---|---|
| LBN Legal business name | Pelta, Ely D |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 31st, 2006 |
| Last updated | Oct 19th, 2012 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1013923028 | NPPES |
| Florida | MEDICAID | 268660100 |
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