Individual
DR. ELLIOT MARTIN PURITZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12 VIA MARINO, PALM COAST, FL 32137-2276
(386) 445-8737
Mailing address
12 VIA MARINO, PALM COAST, FL 32137-2276
(386) 445-8737
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
096799
NY
Other
Enumeration date
12/02/2011
Last updated
12/02/2011
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