Individual
MR. ELIO MADAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
132 E MADISON ST, STARKE, FL 32091-4043
(904) 964-6500
(904) 964-9170
Mailing address
1634 COLONIAL DR, GREEN COVE SPRINGS, FL 32043
(904) 284-4715
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
ME61095
FL
Other
Enumeration date
09/20/2006
Last updated
09/09/2009
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