Healthcare Provider Details

I. General information

NPI: 1972563328
Provider Name (Legal Business Name): ELENA S. HOLLENDER M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/27/2006
Last Update Date: 09/25/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

403 SE 1ST ST
DELRAY BEACH FL
33483-4540
US

IV. Provider business mailing address

403 SE 1ST ST
DELRAY BEACH FL
33483-4540
US

V. Phone/Fax

Practice location:
  • Phone: 561-883-9556
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License NumberME55727
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: