| Elliot M. Livstone, Md, Pa | |
|
1515 S Osprey Ave Suite C11 Sarasota FL 34239-2939 | |
| (941) 955-0000 | |
| Not Available |
| Full Name | Elliot M. Livstone, Md, Pa |
|---|---|
| Speciality | Internal Medicine - Gastroenterology |
| Location | 1515 S Osprey Ave, Sarasota, Florida |
| Authorized Official Name and Position | Elliot M Livstone (CEO) |
| Authorized Official Contact | 9419550000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elliot M. Livstone, Md, Pa 1515 S Osprey Ave Suite C11 Sarasota FL 34239-2939 Ph: (941) 955-0000 | Elliot M. Livstone, Md, Pa 1515 S Osprey Ave Suite C11 Sarasota FL 34239-2939 Ph: (941) 955-0000 |
| NPI Number | 1700114501 |
|---|---|
| Provider Enumeration Date | 12/07/2009 |
| Last Update Date | 12/07/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700114501 | NPI | - | NPPES |
| 10D0955291 | Other | FL | CLIA 10D0955291 |
| 58421 | Other | FL | BC/BS |
| 6790096001 | Other | FL | CIGNA |
| P1647052 | Other | FL | OXFORD |
| 0508193 | Other | FL | AETNA |
| 2400764 | Other | FL | GHI |
| 10714272 | Other | FL | CAQH |
| 01103041 | Other | FL | AMERIGROUP |
| 100011714 | Other | FL | RR MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | ME0042953 (Florida) | Primary |
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