Individual
MARIBEL ELIAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
838 FOXTAIL ST, LEHIGH ACRES, FL 33974-9615
(321) 234-7426
Mailing address
840 FOXTAIL ST E, LEHIGH ACRES, FL 33974
Taxonomy
Speciality
Code
Description
License number
State
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
Primary
282818381
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AMBETTER
AMBETTER
—
01
—
HUMANA
HUMANA
FL
Enumeration date
09/04/2025
Last updated
09/04/2025
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