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Individual

ELI AVISAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1611 NW 12TH AVE, BOX 016960 M851, MIAMI, FL 33136-1005
(305) 585-1288
(305) 243-8470
Mailing address
1611 NW 12TH AVE, BOX 016960 M851, MIAMI, FL 33136-1005
(305) 585-1288
(305) 243-8470

Taxonomy

Speciality
Code
Description
License number
State
2086X0206X
Surgical Oncology Physician
Primary
ME87587
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2669374-00
FL
Enumeration date
04/18/2006
Last updated
01/29/2013
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