Individual
ELISA FERNANDA VELEZ POLIT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SA-C
Contact information
Practice address
4114 STAGHORN LN, WESTON, FL 33331-3804
(954) 646-5355
Mailing address
4114 STAGHORN LN, WESTON, FL 33331-3804
(954) 646-5355
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
20-518
WI
Other
Enumeration date
01/16/2021
Last updated
01/16/2021
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