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Individual

ELIAS MENTIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
8787 BRYAN DAIRY RD, LARGO, FL 33777-1251
(727) 394-5331
Mailing address
PO BOX 862155, ORLANDO, FL 32886-2155
(913) 647-0593
(913) 341-5797

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
OS9031
FL

Other

Enumeration date
08/13/2006
Last updated
02/26/2008
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