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General NPI Number Information
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NPI Number | 1720296742
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Entity Type | Individual
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Provider Name | JOSHUA N ELLIOTT MD
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Gender | Male
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Dates
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Enumeration Date | 05/21/2007
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Last Update Date | 09/10/2025
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Provider Practice Location Address
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Address Line | 710 94TH AVE N STE 309
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City | ST PETERSBURG
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State | FL
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Zip | 33702-2452
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Country | US
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Telephone | 727-213-3330
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Fax | 727-767-8668
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Provider Business Mailing Address
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Address Line | 710 94TH AVE N STE 309
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City | ST PETERSBURG
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State | FL
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Zip | 33702-2452
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Country | US
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Telephone | 727-213-3330
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Fax | 727-739-8720
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | ME112639
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 27559
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License Number State | AL
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