Individual
ELBYS ERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
10621 N KENDALL DR, SUITE 213, MIAMI, FL 33176-8708
(786) 464-0631
(786) 762-2632
Mailing address
8200 NW 27 ST, STE 108, DORAL, FL 33122-1906
(786) 662-3893
(786) 662-3899
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
PO 3374
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002070800
—
FL
Enumeration date
10/29/2008
Last updated
07/14/2016
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