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NPI Code Detail

MEDICARE: DR. NOEL L ELGUT M.D.

MEDICARE:  DR. NOEL L ELGUT  M.D.
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
1207W00000XOphthalmology PhysicianME58120FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1548243843
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. NOEL L ELGUT M.D.
Provider Business Mailing Address
First Line : 6333 N FEDERAL HWY
Second Line : SUITE 401
City : FT LAUDERDALE
State : FL
Zip : 33308-1907
Country : US
Telephone Number : 954-463-4761
Fax Number : 954-463-4763
Provider Business Practice Location Address
First Line : 6333 N FEDERAL HWY
Second Line :
City : FT LAUDERDALE
State : FL
Zip : 33308-1907
Country : US
Telephone Number : 954-463-4761
Fax Number : 954-463-4763
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/21/2005
Last Update Date : 02/28/2014

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Directions to “ DR. NOEL L ELGUT M.D.” Practice Location

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