Kelijman, Mirtha
Kelijman, Mirtha is an sole proprietor health care provider with primary practice located at 670 Glades Rd Suite 310, Boca Raton FL 33431-6461. She recently has only one registered license in Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, which is considered as her primary health care specialty. Kelijman, Mirtha can be contacted via phone (561) 367-8202.Contact Information
Primary practice address
670 Glades Rd Suite 310
Boca Raton FL 33431-6461
Phone: (561) 367-8202
Fax: (561) 367-8257
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism | 207RE0101X | ME 67985 | Florida |
Profile Details
| NPI number | 1538369962 |
|---|---|
| LBN Legal business name | Kelijman, Mirtha |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 24th, 2007 |
| Last updated | May 16th, 2008 - about 18 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 | 1538369962 | NPPES |
| Florida | Other | H525 | AVMED |
| Florida | Other | 0007582454 | AVMED |
| Florida | Other | 44842 | AVMED |
| Florida | Other | P00064212 | AVMED |
| Florida | Other | 0005123136 | AVMED |
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