Eliseo, Laura J.

Eliseo, Laura J. is an individual health care provider with primary practice located at 1400 Nw 12Th Ave , Miami FL 33136-1003. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as her primary health care specialty. Eliseo, Laura J. can be contacted via phone (305) 689-5464.

Contact Information

Primary practice address
1400 Nw 12Th Ave Miami FL 33136-1003
Phone: (305) 689-5464
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 224022 Massachusetts
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X ME117686 Florida

Profile Details

NPI number 1598724403
LBN Legal business name Eliseo, Laura J.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 20th, 2006
Last updated Jan 10th, 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 1598724403 NPPES
Massachusetts Other J28754 BCBS
Massachusetts Other 462236 BCBS
Massachusetts MEDICAID 110041043A BCBS

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