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Individual
ELENA DOUGLAS
Active
Individual
ELENA DOUGLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
T6554
TX
208M00000X
Hospitalist Physician
Primary
ME179365
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
131776600
—
FL
Enumeration date
04/01/2019
Last updated
09/17/2026
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