Individual
ELLIS J GOTTESFELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7730 BOYNTON BEACH BLVD, #4, BOYNTON BEACH, FL 33437-6155
(561) 572-0299
(561) 572-2596
Mailing address
7730 BOYNTON BEACH BLVD, #4, BOYNTON BEACH, FL 33437-6155
(561) 572-0299
(561) 572-2596
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
ME 72007
FL
207ND0101X
MOHS-Micrographic Surgery Physician
ME72007
FL
207NP0225X
Pediatric Dermatology Physician
ME72007
FL
207NS0135X
Procedural Dermatology Physician
ME72007
FL
Other
Enumeration date
07/13/2006
Last updated
10/28/2013
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