Individual
ELI RICHARD SALEEBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1460 N UNIVERSITY DR, CORAL SPRINGS, FL 33071-6040
(954) 752-7552
(954) 752-4737
Mailing address
3000 N UNIVERSITY DR, STE K, CORAL SPRINGS, FL 33065-5055
(954) 752-7552
(954) 752-4737
Taxonomy
Speciality
Code
Description
License number
State
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
ME48632
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010142
AVMED
FL
01
—
04069037
AETNA
FL
01
—
070003807
MEDICARE RAILROAD
FL
01
—
2200180
GHI
FL
01
—
525765
UNITED
FL
01
—
94499
BCBS
FL
Enumeration date
05/15/2006
Last updated
10/31/2022
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