David O. Elliott M.D.Pa

LBN: David O. Elliott M.D.Pa
David O. Elliott M.D.Pa is an health care organization with primary practice located at 1218 W Dixie Ave Suite B, Leesburg FL 34748-6380. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. David O. Elliott M.D.Pa can be contacted via phone (352) 326-5132, or through Elliott, Eva Yolanda via phone (352) 326-5132.

Contact Information

Primary practice address
1218 W Dixie Ave Suite B Leesburg FL 34748-6380
Phone: (352) 326-5132
Fax: (352) 326-3315
Website:
Map and Directions
Authorized official contact:
Name: Elliott, Eva Yolanda PHD
Phone: (352) 326-5132

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X ME38031 Florida

Profile Details

NPI number 1073906202
LBN Legal business name David O. Elliott M.D.Pa
DBA Doing business as
Authorized official Elliott, Eva Yolanda PHD
Entity Organization
Organization subpart 1 No
Enumeration date Mar 12th, 2015
Last updated Mar 12th, 2015 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073906202 NPPES
Florida MEDICAID 067316100
Florida MEDICAID 1528158045

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