Healthcare Provider Details

I. General information

NPI: 1124551916
Provider Name (Legal Business Name): DAVID J ELEFF MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/07/2017
Last Update Date: 11/04/2024
Certification Date: 11/04/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3911 HOLLYWOOD BLVD STE 201
HOLLYWOOD FL
33021
US

IV. Provider business mailing address

3911 HOLLYWOOD BLVD STE 201
HOLLYWOOD FL
33021-6795
US

V. Phone/Fax

Practice location:
  • Phone: 754-888-1368
  • Fax: 305-564-4703
Mailing address:
  • Phone: 754-888-1368
  • Fax: 305-564-4703

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License NumberME157320
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: