Healthcare Provider Details

I. General information

NPI: 1407087455
Provider Name (Legal Business Name): JAWAD ELIAS FRANCIS M.D
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/06/2009
Last Update Date: 12/21/2023
Certification Date: 12/21/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

894 E ALTAMONTE DR
ALTAMONTE SPRINGS FL
32701-5002
US

IV. Provider business mailing address

667 EASTLAND AVE SE
WARREN OH
44484-4503
US

V. Phone/Fax

Practice location:
  • Phone: 407-834-5151
  • Fax: 407-834-5562
Mailing address:
  • Phone: 330-841-4177
  • Fax: 330-841-4598

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RX0202X
TaxonomyMedical Oncology Physician
License NumberME134820
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code207RX0202X
TaxonomyMedical Oncology Physician
License Number35099046
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: