| Elba E. Masid, Md, Llc | |
|
4513 Old Canoe Creek Rd Saint Cloud FL 34769-1551 | |
| (407) 498-0461 | |
| (407) 891-1353 |
| Full Name | Elba E. Masid, Md, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 4513 Old Canoe Creek Rd, Saint Cloud, Florida |
| Authorized Official Name and Position | Elba E Masid (PRESIDENT) |
| Authorized Official Contact | 4074980461 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Elba E. Masid, Md, Llc 4513 Old Canoe Creek Rd Saint Cloud FL 34769-1551 Ph: (407) 498-0461 | Elba E. Masid, Md, Llc 4513 Old Canoe Creek Rd Saint Cloud FL 34769-1551 Ph: (407) 498-0461 |
| NPI Number | 1730412586 |
|---|---|
| Provider Enumeration Date | 09/11/2009 |
| Last Update Date | 03/27/2013 |
| Medicare PECOS PAC ID | 7618016064 |
|---|---|
| Medicare Enrollment ID | O20091125000247 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730412586 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | ME102282 (Florida) | Primary |
| Provider Name | Elba E Masid |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023269438 PECOS PAC ID: 4789734088 Enrollment ID: I20090608000566 |
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