Organization
SAMIR ELIAS MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAMIR ELIAS MD (PRESIDENT)
(321) 269-4911
Entity
Organization
Contact information
Practice address
1655 JESS PARRISH CT, TITUSVILLE, FL 32796-2104
(321) 269-4911
(321) 383-1368
Mailing address
1655 JESS PARRISH CT, TITUSVILLE, FL 32796-2104
(321) 269-4911
(321) 383-1368
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
ME32055
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036874100
—
FL
Enumeration date
12/29/2009
Last updated
12/29/2009
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