Individual
ELIAS DAKWAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2 TAMPA GENERAL CIR, 7TH FLOOR, TAMPA, FL 33606-3603
(813) 259-0919
(813) 259-0858
Mailing address
PO BOX 917770, ORLANDO, FL 32891-7770
(813) 259-0919
(813) 259-0858
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
ME116058
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009227200
—
FL
01
—
14QW1
BLUE CROSS BLUE SHIELD
—
Enumeration date
07/12/2007
Last updated
10/12/2015
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