Organization
HEALTHCARE SERVICES
Active
Organization
HEALTHCARE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL D ELLIOTT (PHYSICIAN)
(772) 288-6300
Entity
Organization
Contact information
Practice address
931 SE OCEAN BLVD, STUART, FL 34994-2425
(772) 288-6300
Mailing address
3607 OLD CONEJO RD, THOUSAND OAKS, CA 91320-2123
(805) 375-0800
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
BE3311571
FL
Other
Enumeration date
04/23/2007
Last updated
08/23/2007
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