Individual
ELIE CIRIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3854 SHERIDAN ST STE A, HOLLYWOOD, FL 33021-3630
(954) 966-3018
(954) 966-5249
Mailing address
3854 SHERIDAN ST STE A, HOLLYWOOD, FL 33021-3630
(954) 966-3018
(954) 966-5249
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ME108779
FL
207RN0300X
Nephrology Physician
Primary
ME108779
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004094500
—
FL
01
—
14CL7
BCBS FL
FL
Enumeration date
11/17/2010
Last updated
05/21/2024
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