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Individual

ELI GAVI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
430 MORTON PLANT ST, SUITE 405, CLEARWATER, FL 33756-3398
(727) 443-0611
(727) 461-5493
Mailing address
430 MORTON PLANT ST, SUITE 405, CLEARWATER, FL 33756-3398
(727) 443-0611
(727) 461-5493

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ME101250
FL
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
ME101250
FL
207RP1001X
Pulmonary Disease Physician
Primary
ME101250
FL
207RS0012X
Sleep Medicine (Internal Medicine) Physician
ME101250
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000205700
FL
01
P01118490
RR MEDICARE
Enumeration date
04/08/2008
Last updated
08/05/2014
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