# DR. SALLY SAMIR ELIAS

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1841223633
- **Gender:** F
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208000000X | Pediatrics Physician | ME92584 | FL | — |
| 208000000X | Pediatrics Physician | ME92588 | FL | — |
| 208D00000X | General Practice Physician | ME92584 | FL | Yes |

## Other

- **Enumeration date:** 07/08/2006
- **Last updated:** 11/09/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 004130500 | — | FL |
| 01 | — | 18160 | FHHS | FL |
| 01 | — | 2540464 | UNITED HEALTHCARE | FL |
| 01 | — | 28634 | BCBS | FL |
| 05 | — | 28634Z | — | FL |
| 01 | — | 7428721 | AETNA HEALTHCARE | FL |
| 01 | — | 8894941 | CIGNA HEALTHCARE | FL |