Individual
ELIAS JOSE MUALIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
450 N PARK RD, SUITE 202, HOLLYWOOD, FL 33021-5403
(954) 983-2101
(954) 983-2860
Mailing address
450 N PARK RD, SUITE 202, HOLLYWOOD, FL 33021-5403
(954) 983-2101
(954) 983-2860
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
ME86605
FL
207VG0400X
Gynecology Physician
Primary
ME86605
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0845933
PARITY HEALTHCARE
FL
05
—
266415101
—
FL
01
—
29130
BCBS
FL
01
—
291529
AVMED
FL
01
—
300151000
TRICARE
FL
01
—
994795
NHP
FL
Enumeration date
11/10/2006
Last updated
04/10/2025
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