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NPI Code Detail

MEDICARE: DR. ELISA OLIVER MCDANIEL GEORGE M.D.

MEDICARE: DR. ELISA OLIVER MCDANIEL GEORGE 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
1207R00000XInternal Medicine PhysicianR73273AZ
2207R00000XInternal Medicine PhysicianME123919FL
3208M00000XHospitalist PhysicianME123919FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1ME123919OTHERFLMEDICAL LICENSE
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1992067466
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ELISA OLIVER MCDANIEL GEORGE M.D.
Provider Business Mailing Address
First Line : 200 CRANDON BLVD STE 300
Second Line :
City : KEY BISCAYNE
State : FL
Zip : 33149-1614
Country : US
Telephone Number : 305-674-2599
Fax Number :
Provider Business Practice Location Address
First Line : 836 PONCE DE LEON BLVD STE 200
Second Line :
City : CORAL GABLES
State : FL
Zip : 33134-3068
Country : US
Telephone Number : 305-441-0910
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/11/2012
Last Update Date : 02/06/2019

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