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DR. SALLY SAMIR ELIAS MD NPI 1841223633


NPI Information

NPI: 1841223633
Provider Name: DR. SALLY SAMIR ELIAS, MD
Classification: General Practice - 208D00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
11715 ORPINGTON STREET, SUITE A
TLC PEDIATRICS AND ADOLESCENT MEDICINE IN ASSOC WITH NE
ORLANDO, FL
ZIP 32817
Phone: (407) 380-9115
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DR. Sally Samir Elias, MD is a general practice in Orlando, FL. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee DR. Sally Samir Elias, MD NPI is 1841223633. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

11715 ORPINGTON STREET, SUITE A
TLC PEDIATRICS AND ADOLESCENT MEDICINE IN ASSOC WITH NE
ORLANDO, FL
ZIP 32817-600
Phone: (407) 380-9115
Fax: (407) 380-9189

The NPI 1841223633 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/8/2006 and was last updated on 11/9/2012.


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
1208000000XPediatricsME92588FLORIDANo
2208000000XPediatricsME92584FLORIDANo
3208D00000XGeneral PracticeME92584FLORIDAYes

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
1004130500MEDICAIDFLORIDA
28894941OTHERFLORIDACIGNA HEALTHCARE
3I44941MEDICARE UPINFLORIDA
42540464OTHERFLORIDAUNITED HEALTHCARE
518160OTHERFLORIDAFHHS
67428721OTHERFLORIDAAETNA HEALTHCARE
728634OTHERFLORIDABCBS
828634ZMEDICAIDFLORIDA

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.