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Individual

DAVID F ELIJAH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
400 CELEBRATION PL STE A360, CELEBRATION, FL 34747-4970
(407) 303-4829
Mailing address
400 CELEBRATION PL STE A360, CELEBRATION, FL 34747-4970
(407) 303-4829

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
90772
FL
207RG0100X
Gastroenterology Physician
Primary
ME90772
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
593256803
FEI #
Enumeration date
09/14/2006
Last updated
05/03/2017
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