Organization
ELYAMAN MEDICAL SERVICES PA
Active
Parent organization
ELYAMAN MEDICAL SERVICES PA
Other names
Absolute Elder Care, Central Florida Interventional Pain Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
ELYAMAN MEDICAL SERVICES PA
Authorized official
DR. WALEED A ELYAMAN MD (MD/OWNER)
(352) 233-6936
Entity
Organization
Contact information
Practice address
1720 SE 16TH AVE STE 304, OCALA, FL 34471-4620
(352) 857-8417
(352) 877-2083
Mailing address
1720 SE 16TH AVE STE 304C, OCALA, FL 34471-4620
(352) 857-8417
(352) 877-2083
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
—
—
207R00000X
Internal Medicine Physician
—
—
208D00000X
General Practice Physician
—
—
208VP0014X
Interventional Pain Medicine Physician
—
—
213E00000X
Podiatrist
—
—
363A00000X
Physician Assistant
—
—
363LA2200X
Adult Health Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
—
—
363LG0600X
Gerontology Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
25116200
—
FL
01
—
LVGOP
FLORIDA BLUE GROUP
FL
Enumeration date
07/20/2015
Last updated
04/04/2023
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