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Individual

DR. ELISA OLIVER MCDANIEL GEORGE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
836 PONCE DE LEON BLVD STE 200, CORAL GABLES, FL 33134-3068
(305) 441-0910
Mailing address
200 CRANDON BLVD STE 300, KEY BISCAYNE, FL 33149-1614
(305) 674-2599

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ME123919
FL
207R00000X
Internal Medicine Physician
R73273
AZ
208M00000X
Hospitalist Physician
Primary
ME123919
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
ME123919
MEDICAL LICENSE
FL
Enumeration date
06/11/2012
Last updated
02/06/2019
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