Individual
MR. DAVID OWEN ELLIOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1218 WEST DIXIE AVE, B, LEESBURG, FL 34748
(352) 326-5132
(352) 326-3315
Mailing address
1218 WEST DIXIE AVE, B, LEESBURG, FL 34748
(352) 326-5132
(352) 326-3315
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
ME 38031
FL
Other
Enumeration date
10/13/2006
Last updated
07/08/2007
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