Individual
MR. DONALD ROBERT ELTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3480 POLYNESIAN ISLE BLVD, KISSIMMEE, FL 34746
(407) 507-2615
(407) 507-2616
Mailing address
3480 POLYNESIAN ISLE BLVD, SUITE 204, KISSIMMEE, FL 34746-1818
(407) 507-2615
(407) 507-2616
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
14158
SC
207RP1001X
Pulmonary Disease Physician
Primary
ME62191
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
141581
—
SC
01
—
155386100
US DEPARTMENT OF LABOR
SC
01
—
166915
MIDSOUTH
SC
01
—
290011458
RAIL ROAD MEDICARE
SC
01
—
75086
MEDCOST
SC
01
—
S380410
HEALTH SOURCE
SC
Enumeration date
05/01/2006
Last updated
04/02/2026
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