Individual
JOSEPH ELISCARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3707 17TH ST E, BRADENTON, FL 34208-4765
(941) 565-7818
Mailing address
3707 17TH ST E, BRADENTON, FL 34208-4765
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
Primary
52963328
FL
Other
Enumeration date
12/05/2016
Last updated
12/05/2016
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