Organization
ELITE PODIATRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELLIOT FIALKOFF (CEO)
(818) 317-4127
Entity
Organization
Contact information
Practice address
3381 N 41ST CT, HOLLYWOOD, FL 33021-1940
(818) 317-4127
Mailing address
3381 N 41ST CT, HOLLYWOOD, FL 33021-1940
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
—
—
207Q00000X
Family Medicine Physician
—
—
213E00000X
Podiatrist
Primary
—
—
Other
Enumeration date
04/26/2018
Last updated
12/18/2019
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