Individual
AMY ELIZABETH VAN ELKAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3601 SW 160TH AVE, SUITE #250, MIRAMAR, FL 33027-6308
(305) 866-9951
(877) 284-8933
Mailing address
3601 SW 160TH AVE, SUITE #250, MIRAMAR, FL 33027-6308
(305) 866-9951
(877) 284-8933
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
00024957
AL
207Q00000X
Family Medicine Physician
Primary
MD.24957
AL
208D00000X
General Practice Physician
MD24957
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009933977
—
AL
01
—
051530125
BLUE CROSS
AL
Enumeration date
04/22/2006
Last updated
03/02/2011
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