Individual
ELAMIN MAHMOUD ELAMIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-3003
(352) 392-3441
Mailing address
PO BOX 918025, ORLANDO, FL 32891-8025
(352) 392-3441
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ME91912
FL
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
ME91912
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
271657700
—
FL
01
—
64085
FL BCBS
FL
Enumeration date
05/19/2006
Last updated
04/24/2008
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