Individual
DR. JOHN M ELLIOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7550 W UNIVERSITY AVE, SUITE A, GAINESVILLE, FL 32607-7607
(352) 727-4911
(352) 505-5211
Mailing address
7550 W UNIVERSITY AVE, SUITE A, GAINESVILLE, FL 32607-7607
(352) 727-4911
(352) 505-5211
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
ME27674
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
052291100
—
FL
01
—
239216
AVMED
FL
01
—
270855
AVMED
FL
01
—
48871
BCBSFL
FL
01
—
P00316726
RAIL ROAD MEDICARE
FL
01
—
P0032923
RAIL ROAD MEDICARE
FL
Enumeration date
05/05/2006
Last updated
05/16/2013
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