Individual
BORIS ELISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1400 NW 12TH AVE, MIAMI, FL 33136-1003
(305) 325-5511
Mailing address
1400 NW 12TH AVE FL 33136, MIAMI, FL 33136-1087
(305) 325-5511
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
61199
KY
207P00000X
Emergency Medicine Physician
MD455885
PA
207P00000X
Emergency Medicine Physician
ME128384
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
018455500
—
FL
Enumeration date
06/11/2013
Last updated
02/18/2026
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