MEDICARE: ELINA ABLA

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	163W00000X	Registered Nurse	9660017	FL
2	363L00000X	Nurse Practitioner	APRN11042130	FL
3	163WP0000X	Pain Management Registered Nurse	9660017	FL

General Provider Information

NPI Number	:	1548159007
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELINA ABLA

Provider Business Mailing Address
First Line	:	5441 N UNIVERSITY DR STE 101
Second Line	:
City	:	CORAL SPRINGS
State	:	FL
Zip	:	33067-4640
Country	:	US
Telephone Number	:	954-803-9002
Fax Number	:	954-933-2305

Provider Business Practice Location Address
First Line	:	5441 N UNIVERSITY DR STE 101
Second Line	:
City	:	CORAL SPRINGS
State	:	FL
Zip	:	33067-4640
Country	:	US
Telephone Number	:	954-803-9002
Fax Number	:	954-933-2305

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

Provider Enumeration Date	:	06/30/2025
Last Update Date	:	05/20/2026

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