Individual
EDET ELENSI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
19909 TAMIAMI AVE, TAMPA, FL 33647-3366
(813) 468-1899
(813) 468-1899
Mailing address
19909 TAMIAMI AVE, TAMPA, FL 33647-3366
(813) 468-1899
(813) 468-1899
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME90895
FL
Other
Enumeration date
02/07/2006
Last updated
10/19/2012
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