Blau, Elliot

Blau, Elliot is an individual health care provider with primary practice located at 311 9Th St N Ste 200 , Naples FL 34102-5887. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Urology. Allopathic & Osteopathic Physicians / Urology is his primary health care specialty. Blau, Elliot can be contacted via phone (239) 624-1160.

Contact Information

Primary practice address
311 9Th St N Ste 200 Naples FL 34102-5887
Phone: (239) 624-1160
Fax: (239) 624-1161
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X TRN20137 Florida
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X ML60569414 Washington
Allopathic & Osteopathic Physicians / Urology 208800000X ME147159 Florida

Profile Details

NPI number 1396150140
LBN Legal business name Blau, Elliot
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2014
Last updated Mar 24th, 2021 - about 3 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 1396150140 NPPES
Florida Other Z3W7E BCBS
Florida MEDICAID 108118800 BCBS

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