Elliott, David A

Elliott, David A is an individual health care provider with primary practice located at 16410 Healthpark Commons Dr , Fort Myers FL 33908-9621. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Elliott, David A can be contacted via phone (239) 343-6202.

Contact Information

Primary practice address
16410 Healthpark Commons Dr Fort Myers FL 33908-9621
Phone: (239) 343-6202
Fax: (239) 437-8537
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X OS6350 Florida

Profile Details

NPI number 1811986581
LBN Legal business name Elliott, David A
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 17th, 2005
Last updated Mar 25th, 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 1811986581 NPPES
Florida MEDICAID 373111100

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