Gizaw, Elias M

Gizaw, Elias M is an individual health care provider with primary practice located at 755 Stirling Center Pl , Lake Mary FL 32746-5714. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Neurology. Allopathic & Osteopathic Physicians / Neurology is his primary health care specialty. Gizaw, Elias M can be contacted via phone (407) 333-1718.

Contact Information

Primary practice address
755 Stirling Center Pl Lake Mary FL 32746-5714
Phone: (407) 333-1718
Fax: (407) 333-1633
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X ME67379 Florida
Allopathic & Osteopathic Physicians / Neurology 2084N0400X ME67379 Florida

Profile Details

NPI number 1609879006
LBN Legal business name Gizaw, Elias M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2005
Last updated May 19th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609879006 NPPES
Florida MEDICAID 377287000

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