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Individual

RICHARD ANDREW ELLIOTT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
501 6TH AVE S, ST PETERSBURG, FL 33701-4634
(727) 767-8480
(727) 767-4970
Mailing address
501 6TH AVE S, ST PETERSBURG, FL 33701-4634
(727) 767-8480
(727) 767-4970

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
D60334
MD
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
D60334
MD
207LP2900X
Pain Medicine (Anesthesiology) Physician
D60334
MD
207LP2900X
Pain Medicine (Anesthesiology) Physician
ME117500
DC
207LP3000X
Pediatric Anesthesiology Physician
Primary
ME117500
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
010342900
FL
05
402350100
MD
Enumeration date
07/06/2006
Last updated
01/23/2017
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