Individual
DR. ELY D PELTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5441 N UNIVERSITY DR, SUITE 102, CORAL SPRINGS, FL 33067-4640
(954) 345-8733
(954) 345-8233
Mailing address
5441 N UNIVERSITY DR, SUITE 102, CORAL SPRINGS, FL 33067-4640
(954) 345-8733
(954) 345-8233
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
ME59840
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
268660100
—
FL
Enumeration date
07/31/2006
Last updated
10/19/2012
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