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NPI Code Detail

MEDICARE: ENL MD PA

MEDICARE: ENL MD PA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207X00000XOrthopaedic Surgery Physician

General Provider Information

NPI Number : 1023407780
Entity Type Code : Organization
Provider Name (Legal Business Name) : ENL MD PA
Provider Business Mailing Address
First Line : 11767 S DIXIE HWY
Second Line : SUITE 357
City : MIAMI
State : FL
Zip : 33156-4438
Country : US
Telephone Number : 786-342-8082
Fax Number : 800-404-0732
Provider Business Practice Location Address
First Line : 14201 S DIXIE HWY
Second Line :
City : MIAMI
State : FL
Zip : 33176-7224
Country : US
Telephone Number : 786-342-8082
Fax Number : 800-404-0732
Authorized Official
Title or Position : PRESIDENT
Name : ELLIOT N LANG
Credential : MD
Telephone Number : 786-342-8082
Provider Enumeration Date : 01/20/2015
Last Update Date : 02/06/2015

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Directions to “ENL MD PA ” Practice Location

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