Elder, Stephanie J

Elder, Stephanie J is an individual health care provider with primary practice located at 5220 Belfort Rd Ste 130, Jacksonville FL 32256-6017. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine, Allopathic & Osteopathic Physicians / Procedural Dermatology. Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine is her primary health care specialty. Elder, Stephanie J can be contacted via phone (727) 867-5480.

Contact Information

Primary practice address
5220 Belfort Rd Ste 130 Jacksonville FL 32256-6017
Phone: (727) 867-5480
Fax: (888) 507-9833
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine 207PE0005X ME0086077 Florida
Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine 2083P0011X ME86077 Florida
Allopathic & Osteopathic Physicians / Procedural Dermatology 207NS0135X ME86077 Florida

Profile Details

NPI number 1346356029
LBN Legal business name Elder, Stephanie J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 22nd, 2006
Last updated Jun 21st, 2013 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1346356029 NPPES
Florida Other 92628 BCBS
Florida Other P00086589 BCBS
Florida Other 7788558 BCBS
Florida MEDICAID 267690700 BCBS

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