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Individual

ELISA O MAXWELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
2802 W BARCELONA ST, TAMPA, FL 33629-7452
(708) 831-8282
Mailing address
PO BOX 320698, TAMPA, FL 33679-2698
(708) 831-8282

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
A97752
CA
207L00000X
Anesthesiology Physician
Primary
ME137727
FL

Other

Enumeration date
07/27/2006
Last updated
08/16/2021
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