Organization
DRS ELIAS & OAKLEY PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THERESA M OAKLEY D.O. (VICE PRESIDENT)
(407) 889-9800
Entity
Organization
Contact information
Practice address
63 E 3RD ST, APOPKA, FL 32703-4235
(407) 889-9800
(407) 889-8910
Mailing address
63 E 3RD ST, APOPKA, FL 32703-4235
(407) 889-9800
(407) 889-8910
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
OS8193
FL
207Q00000X
Family Medicine Physician
Primary
OS8194
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
266572700
—
FL
01
—
285398
AVMED
FL
01
—
34532
BLUE CROSS BLUE SHIELD
FL
01
—
7973386
AETNA
FL
Enumeration date
06/24/2005
Last updated
02/13/2015
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