Individual
STEPHANIE J ELDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5220 BELFORT RD, STE 130, JACKSONVILLE, FL 32256-6017
(727) 867-5480
(888) 507-9833
Mailing address
5220 BELFORT RD, STE 130, JACKSONVILLE, FL 32256-6017
(727) 867-5480
(888) 507-9833
Taxonomy
Speciality
Code
Description
License number
State
207NS0135X
Procedural Dermatology Physician
ME86077
FL
207PE0005X
Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
ME0086077
FL
2083P0011X
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
Primary
ME86077
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
267690700
—
FL
01
—
7788558
AETNA
FL
01
—
92628
BCBS
FL
01
—
P00086589
RAILROAD MEDICARE
—
Enumeration date
08/22/2006
Last updated
06/21/2013
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