Russell Elba D.c.p.a | |
5810 Stirling Rd, Hollywood, FL 33021-1527 | |
(954) 961-2245 | |
(954) 961-3344 |
Full Name | Russell Elba D.c.p.a |
---|---|
Type | Facility |
Speciality | Chiropractor |
Location | 5810 Stirling Rd, Hollywood, Florida |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1356602031 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | CH0006180 (Florida) | Primary |
Provider Name | Russell T Elba |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1598817827 PECOS PAC ID: 2365607660 Enrollment ID: I20120712000487 |
Mailing Address | Practice Location Address |
---|---|
Russell Elba D.c.p.a 5810 Stirling Rd, Hollywood, FL 33021-1527 Ph: (954) 961-2245 | Russell Elba D.c.p.a 5810 Stirling Rd, Hollywood, FL 33021-1527 Ph: (954) 961-2245 |
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