MEDICARE: JAMES C ELMER, 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
1	207V00000X	Obstetrics & Gynecology Physician	ME 0051193	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1516522005	OTHER	FL	CIGNA
2	4108118	OTHER	FL	AETNA
3	04468	OTHER	FL	BCBS
4	1516522002	OTHER	FL	CIGNA
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1467642827
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JAMES C ELMER, MD PA

Provider Business Mailing Address
First Line	:	699 W COCOA BEACH CSWY STE 501
Second Line	:
City	:	COCOA BEACH
State	:	FL
Zip	:	32931-3562
Country	:	US
Telephone Number	:	321-783-2213
Fax Number	:

Provider Business Practice Location Address
First Line	:	699 W COCOA BEACH CSWY STE 501
Second Line	:
City	:	COCOA BEACH
State	:	FL
Zip	:	32931-3562
Country	:	US
Telephone Number	:	321-783-2213
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. JAMES C ELMER
Credential	:	M.D.
Telephone Number	:	321-783-2213

Provider Enumeration Date	:	07/31/2007
Last Update Date	:	04/20/2008

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Directions to “JAMES C ELMER, MD PA ” Practice Location

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