Individual
ELITSA IVANOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
MEMORIAL HOSPITAL WEST, 703 NORTH FLAMINGO ROAD, PEMBROKE PINES, FL 33028-1006
(954) 844-7315
Mailing address
500 N HIATUS RD STE 200, PEMBROKE PINES, FL 33026-5213
(954) 437-4800
(954) 437-6628
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
ME136190
FL
Other
Enumeration date
03/20/2012
Last updated
04/21/2022
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