Individual
OKAN ELIDEMIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5153 NORTH 9TH AVE., NEMOURS CHILDREN'S CLINIC, PENSACOLA, FL 32504-8785
(850) 473-4516
(850) 473-4516
Mailing address
P.O. BOX 191, PROVIDER ENROLLMENT DEPARTMENT, ROCKLAND, DE 19732-0191
(302) 651-5985
(302) 651-4945
Taxonomy
Speciality
Code
Description
License number
State
2080P0214X
Pediatric Pulmonology Physician
Primary
000612
FL
Other
Enumeration date
10/17/2006
Last updated
10/15/2012
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