Elder, Kevin E

Elder, Kevin E is an individual health care provider with primary practice located at 711 S Dale Mabry Hwy Ste 303 , Tampa FL 33609-4400. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Elder, Kevin E can be contacted via phone (813) 635-2107.

Contact Information

Primary practice address
711 S Dale Mabry Hwy Ste 303 Tampa FL 33609-4400
Phone: (813) 635-2107
Fax: (813) 605-6157
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X ME81446 Florida
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X ME81446 Florida

Profile Details

NPI number 1598768160
LBN Legal business name Elder, Kevin E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 27th, 2005
Last updated Mar 21st, 2022 - about 2 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 1598768160 NPPES
Florida MEDICAID 266540900

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