Elias-Ausi, Samuel S
Elias-Ausi, Samuel S is an sole proprietor health care provider with primary practice located at 5900 Lake Ellenor Dr , Orlando FL 32809-4618. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Adult Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Elias-Ausi, Samuel S can be contacted via phone (407) 352-6968.Contact Information
Primary practice address
5900 Lake Ellenor Dr
Orlando FL 32809-4618
Phone: (407) 352-6968
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 082041 | Georgia |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ME129836 | Florida |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MD455198 | Pennsylvania |
| Allopathic & Osteopathic Physicians / Adult Medicine | 207QA0505X | 082041 | Georgia |
| Allopathic & Osteopathic Physicians / Adult Medicine | 207QA0505X | ME129638 | Florida |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | C1-0012156 | Delaware |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MD204788 | Oregon |
Profile Details
| NPI number | 1639432156 |
|---|---|
| LBN Legal business name | Elias-Ausi, Samuel S |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 19th, 2012 |
| Last updated | Jan 26th, 2023 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1639432156 | NPPES |
| Pennsylvania | MEDICAID | 103034936 | |
| Pennsylvania | MEDICAID | 019563600 |
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