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Individual

DR. ELLIOT FIALKOFF

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.P.M.

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
(818) 317-4127

Taxonomy

Speciality
Code
Description
License number
State
213EP0504X
Public Medicine Podiatrist
PR450
FL
213EP1101X
Primary Podiatric Medicine Podiatrist
PR450
FL
213ES0103X
Foot & Ankle Surgery Podiatrist
PO3970
FL
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
PR450
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
PR450
PODIATRIC RESIDENT REGISTRATION
FL
Enumeration date
08/03/2015
Last updated
11/26/2019
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