Elias, Diana L

Elias, Diana L is an individual health care provider with primary practice located at 3900 Central Ave , St Petersburg FL 33711-1238. She recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery, which is considered as her primary health care specialty. Elias, Diana L can be contacted via phone (727) 327-7277.

Contact Information

Primary practice address
3900 Central Ave St Petersburg FL 33711-1238
Phone: (727) 327-7277
Fax: (727) 327-7877
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X ME0059542 Florida

Profile Details

NPI number 1245335231
LBN Legal business name Elias, Diana L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 14th, 2006
Last updated Jun 6th, 2014 - 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 1245335231 NPPES
Florida MEDICAID 052842100

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