Individual
MIRTHA KELIJMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
670 GLADES RD, SUITE 310, BOCA RATON, FL 33431-6461
(561) 367-8202
(561) 367-8257
Mailing address
670 GLADES RD, SUITE 310, BOCA RATON, FL 33431-6461
(561) 367-8202
(561) 367-8257
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
ME 67985
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0005123136
AETNA
FL
01
—
0007582454
AETNA
FL
01
—
44842
BLUE CROSS BLUE SHIELD OF FLA
FL
01
—
H525
AVMED
FL
01
—
P00064212
RAILROAD MEDICARE
FL
Enumeration date
07/24/2007
Last updated
05/16/2008
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