Healthcare Provider Details

I. General information

NPI: 1952472250
Provider Name (Legal Business Name): ELI SHEMESH M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/10/2006
Last Update Date: 06/11/2024
Certification Date: 06/11/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6646 ATLANTIC AVE STE 100
DELRAY BEACH FL
33446-1627
US

IV. Provider business mailing address

6646 ATLANTIC AVE STE 100
DELRAY BEACH FL
33446-1627
US

V. Phone/Fax

Practice location:
  • Phone: 561-495-0660
  • Fax: 561-495-0677
Mailing address:
  • Phone: 561-495-0660
  • Fax: 561-495-0677

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number67020
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code208C00000X
TaxonomyColon & Rectal Surgery Physician
License NumberME67020
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: