Elliott, Brian W

Elliott, Brian W is an individual health care provider with primary practice located at 3251 3Rd Ave N , St Petersburg FL 33713-8506. He recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as his primary health care specialty. Elliott, Brian W can be contacted via phone (727) 321-3854.

Contact Information

Primary practice address
3251 3Rd Ave N St Petersburg FL 33713-8506
Phone: (727) 321-3854
Fax: (727) 327-7670
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X ME32692 Florida

Profile Details

NPI number 1134114796
LBN Legal business name Elliott, Brian W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2005
Last updated May 5th, 2016 - about 10 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 1134114796 NPPES
Florida MEDICAID 037058400

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