Individual
DR. ELISA MARIE SOTTILE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
655 W 8TH ST, UFJP INTERNAL MEDICINE, JACKSONVILLE, FL 32209-6511
(904) 244-5140
(904) 244-3087
Mailing address
PO BOX 44008, UFJP PROVIDER ENROLLMENT, JACKSONVILLE, FL 32231-4008
(904) 244-3660
(904) 244-3425
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME73235
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000758018A
—
GA
01
—
110153190
RAILROAD MEDICARE
FL
05
—
2521580-00
—
FL
Enumeration date
02/27/2006
Last updated
08/24/2011
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