Organization
DAVID O. ELLIOTT M.D.PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EVA YOLANDA ELLIOTT PHD (OFFICE MANAGER)
(352) 326-5132
Entity
Organization
Contact information
Practice address
1218 W DIXIE AVE, SUITE B, LEESBURG, FL 34748-6380
(352) 326-5132
(352) 326-3315
Mailing address
1218 W DIXIE AVE STE B, LEESBURG, FL 34748-6380
(352) 326-5132
(352) 326-3315
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME38031
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
067316100
—
FL
05
—
1528158045
—
FL
Enumeration date
03/12/2015
Last updated
03/12/2015
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