MEDICARE: DR. ELVAN SARAC-JENNINGS MD, DIP.O.M.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171100000X	Acupuncturist	AP4465	FL

General Provider Information

NPI Number	:	1174213334
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ELVAN SARAC-JENNINGS MD, DIP.O.M.

Provider Business Mailing Address
First Line	:	789 DOUGLAS AVE STE 137
Second Line	:
City	:	ALTAMONTE SPRINGS
State	:	FL
Zip	:	32714-2573
Country	:	US
Telephone Number	:	321-297-1118
Fax Number	:

Provider Business Practice Location Address
First Line	:	10213 CHESHAM DR
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32817-3288
Country	:	US
Telephone Number	:	504-346-9660
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/11/2023
Last Update Date	:	01/22/2026

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