Individual
DR. ELIAS DOUMIT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12901 BRUCE B DOWNS BLVD, MDC 19, TAMPA, FL 33612-4742
(813) 974-1469
Mailing address
PO BOX 917770, ORLANDO, FL 32891-7770
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
21923
AL
207RN0300X
Nephrology Physician
Primary
ME98937
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
278630300
—
FL
01
—
78219
BCBS
FL
Enumeration date
11/01/2006
Last updated
06/27/2008
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