# ELON HEALTH PRIMARY CARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134986441
- **Authorized official:** DR. SANDEEP PANDYA M.D. (MEDICAL DIRECTOR)
- **Authorized official phone:** (407) 205-6996

## Contact information

- **Practice address:** 43378 HIGHWAY 27 STE B, DAVENPORT, FL 33837-6816
- **Practice address phone:** (407) 205-6996
- **Practice address fax:** (407) 871-3599
- **Mailing address:** 127 W FAIRBANKS AVE STE 447, WINTER PARK, FL 32789-4326
- **Mailing address phone:** (407) 205-6996
- **Mailing address fax:** (407) 871-3599

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |

## Other

- **Enumeration date:** 03/04/2024
- **Last updated:** 01/24/2025