Individual
DR. KEVIN E ELDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
711 S DALE MABRY HWY STE 303, TAMPA, FL 33609-4400
(813) 635-2107
(813) 605-6157
Mailing address
711 S DALE MABRY HWY STE 303, TAMPA, FL 33609-4400
(813) 635-2107
(813) 605-6157
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
ME81446
FL
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
ME81446
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
266540900
—
FL
Enumeration date
05/27/2005
Last updated
03/21/2022
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