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:
Health care specialties
Specialty | Code | License # | 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 4 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1811986581 | NPPES |
Florida | MEDICAID | 373111100 |
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