Individual
ELIAS M GIZAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
755 STIRLING CENTER PL, LAKE MARY, FL 32746-5714
(407) 333-1718
(407) 333-1633
Mailing address
755 STIRLING CENTER PL, LAKE MARY, FL 32746-5714
(407) 333-1718
(407) 333-1633
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
ME67379
FL
2084N0400X
Neurology Physician
Primary
ME67379
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
377287000
—
FL
Enumeration date
05/31/2005
Last updated
05/19/2021
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