Healthcare Provider Details

I. General information

NPI: 1275196560
Provider Name (Legal Business Name): ORLI FRIEDMAN-ELDAR M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/22/2019
Last Update Date: 04/22/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1611 NW 12 AVENUE DEPARTMENT OF SURGERY, DON SOFFER CLINICAL RESEARCH CEN
MIAMI FL
33136
US

IV. Provider business mailing address

SHEBA MEDICAL CENTER, HAELLA 1 STREET GENERAL SURGERY C DEPARTMENT
RAMAT GAN ISRAEL
52620
IL

V. Phone/Fax

Practice location:
  • Phone: 305-243-5910
  • Fax: 305-243-4907
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: