Individual
DIANA L ELIAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3900 CENTRAL AVE, ST PETERSBURG, FL 33711-1238
(727) 327-7277
(727) 327-7877
Mailing address
3900 CENTRAL AVE, ST PETERSBURG, FL 33711-1238
(727) 327-7277
(727) 327-7877
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
ME0059542
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
052842100
—
FL
Enumeration date
09/14/2006
Last updated
06/06/2014
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