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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 14 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1013923028 NPPES
Florida MEDICAID 268660100

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