| NPI | 1720020282 |
|---|---|
| Doing Business As | DONALD GELDART MD |
| Entity Type | Organization |
| Authorized Contact | JEFF BOGAN President 904-962-2123 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site (Licence: FL ME27412) |
| Enumeration Date | 2006-06-11 |
| Last Update Date | 2020-08-22 |