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NOEL L. ELGUT MD NPI 1558966309


NPI Information

NPI: 1558966309
Provider Name: NOEL L. ELGUT MD
Classification: Clinic/Center - 261QM2500X
Entity Type: Organization

Specialization: Medical Specialty

Address:
6333 N FEDERAL HWY STE 401
FORT LAUDERDALE, FL
ZIP 33308
Phone: (954) 463-4761
Get Directions

NOEL L. ELGUT MD is a medical specialty clinic center in Fort Lauderdale, FL. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). NOEL L. ELGUT MD NPI is 1558966309. The provider is registered as an organization entity type.

The provider's business location address is:

6333 N FEDERAL HWY STE 401
FORT LAUDERDALE, FL
ZIP 33308-909
Phone: (954) 463-4761
Fax: (954) 463-4763

The provider's authorized official is Leelah Champion .
The authorized official title is Practice Administrator and has the following contact phone number (954) 463-4761.

The enumeration date for this NPI number is 12/1/2020 and was last updated on 12/1/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QM2500XClinic/CenterMedical SpecialtyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1063637100MEDICAIDFLORIDA
2106747100MEDICAIDFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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