Individual
DAVID A ELLIOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
16410 HEALTHPARK COMMONS DR, FORT MYERS, FL 33908-9621
(239) 343-6202
(239) 437-8537
Mailing address
622 SE CENTRAL PKWY, STUART, FL 34994-3970
(772) 288-1220
(772) 288-5151
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
OS6350
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
373111100
—
FL
Enumeration date
10/17/2005
Last updated
03/25/2021
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