Individual
GRIGORY GELIKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
725 EAST OAK STREET, KISSIMMEE, FL 34744-8201
(407) 846-7546
(321) 206-5419
Mailing address
P.O. BOX 690609, ORLANDO, FL 32869-0609
(407) 846-7546
(321) 206-5419
Taxonomy
Speciality
Code
Description
License number
State
207ZD0900X
Dermatopathology (Pathology) Physician
Primary
ME85172
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009432700
—
FL
Enumeration date
05/27/2010
Last updated
03/29/2018
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