Provider Information for 1851745889
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MARIE ELANUS
Sex: Female
NPI: 1851745889
Last Updated: 2019-12-05
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1851745889 | ||||||||
| Enumeration Date | 2016-04-15 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 2610 ALCLOBE CIR OCOEE, FL 34761-8967 United States Phone: 407-836-8858 | Fax: | ||||||||
| Primary Practice Address | 11120 S CROWN WAY STE 1 WELLINGTON, FL 33414-8718 United States Phone: 407-836-8858 | Fax: | ||||||||
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