MEDICARE: MICHAEL ELIAS MD

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
1	2080N0001X	Neonatal-Perinatal Medicine Physician	ME160955	FL
2	208000000X	Pediatrics Physician	ME160955	FL

General Provider Information

NPI Number	:	1205455045
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHAEL ELIAS MD

Provider Business Mailing Address
First Line	:	5955 PONCE DE LEON BLVD
Second Line	:
City	:	CORAL GABLES
State	:	FL
Zip	:	33146-2423
Country	:	US
Telephone Number	:	305-661-1515
Fax Number	:	305-661-1515

Provider Business Practice Location Address
First Line	:	5955 PONCE DE LEON BLVD
Second Line	:
City	:	CORAL GABLES
State	:	FL
Zip	:	33146-2423
Country	:	US
Telephone Number	:	305-661-1515
Fax Number	:	305-661-1515

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/12/2020
Last Update Date	:	02/10/2026

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