Elton, Donald Robert

Elton, Donald Robert is an sole proprietor health care provider with primary practice located at 3480 Polynesian Isle Blvd , Kissimmee FL 34746. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pulmonary Disease, Other Service Providers / Specialist. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Elton, Donald Robert can be contacted via phone (407) 507-2615.

Contact Information

Primary practice address
3480 Polynesian Isle Blvd Kissimmee FL 34746
Phone: (407) 507-2615
Fax: (407) 507-2616
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X ME62191 Florida
Other Service Providers / Specialist 174400000X 14158 South Carolina

Profile Details

NPI number 1538126685
LBN Legal business name Elton, Donald Robert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 1st, 2006
Last updated May 12th, 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 1538126685 NPPES
South Carolina Other 166915 MIDSOUTH
South Carolina Other 290011458 MIDSOUTH
South Carolina Other 75086 MIDSOUTH
South Carolina MEDICAID 141581 MIDSOUTH
South Carolina Other S380410 MIDSOUTH
South Carolina Other 155386100 MIDSOUTH

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