Organization
ELIZABETH F. CALLAHAN, M.D., LLC
Active
Other names
Skin Smart Dermatology
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TOM SIDGMORE (PRACTICE ADMINISTRATOR)
(941) 308-7546
Entity
Organization
Contact information
Practice address
5911 N HONORE AVE, SUITE 210, SARASOTA, FL 34243-2606
(941) 308-7546
(941) 308-7550
Mailing address
5911 N HONORE AVE, SUITE 210, SARASOTA, FL 34243-2606
(941) 308-7546
(941) 308-7550
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME89181
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A58
GROUP BC PROVIDER NUMBER
FL
01
—
1003844937
JONELLE'S NPI
FL
01
—
10D1031789
CLIA
FL
01
—
1235392424
NPI JAMIE RAISOR
FL
01
—
1285828053
CP NPI
FL
01
—
1376576454
GROUP NPI
FL
01
—
145A6
BC ID JONELLE
FL
01
—
1477548808
EFC NPI
FL
01
—
1861504045
BRR NPI
FL
01
—
48310
BCBS PROVIDER NUMBER
FL
01
—
7543592
AETNA PROVIDER NUMBER
FL
01
—
8188371
JONELLE CIGNA PROVIDER NUMBER
FL
01
—
AK933Y
PTAN JAMIE RAISOR
FL
01
—
ME104122
JONELLE MEDICAL LICENSE
FL
01
—
Y00CF
BBR BCBS PROVIDER#
FL
Enumeration date
07/09/2006
Last updated
10/31/2019
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