Individual
DR. K ELHAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
325 E 10TH CT, SECOND FLOOR, HIALEAH, FL 33010-5150
(786) 610-8781
Mailing address
325 E 10TH CT, SECOND FLOOR, HIALEAH, FL 33010-5150
(786) 610-8781
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3012098689
FDA FACILITY ESTABLISHMENT IDENTIFIER
—
01
—
70676
FDA FACILITY ESTABLISHMENT IDENTIFIER
—
Enumeration date
09/26/2016
Last updated
09/26/2016
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