Individual
ELZA N VASCONCELLOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1695 NW 110TH AVE STE 317, MIAMI, FL 33172-1930
(305) 671-3654
(305) 459-3242
Mailing address
1695 NW 110TH AVE STE 317, MIAMI, FL 33172-1930
(305) 671-3654
(305) 459-3242
Taxonomy
Speciality
Code
Description
License number
State
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
ME77405
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
070259500
—
FL
Enumeration date
10/04/2006
Last updated
02/07/2023
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