| Sidi A Elaloui Md.pa | |
|
1952 N John Young Pkwy Kissimmee FL 34741-3221 | |
| (407) 343-1284 | |
| Not Available |
| Full Name | Sidi A Elaloui Md.pa |
|---|---|
| Speciality | Clinic/Center |
| Location | 1952 N John Young Pkwy, Kissimmee, Florida |
| Authorized Official Name and Position | Sidi A Elalaoui (MD) |
| Authorized Official Contact | 4073431284 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sidi A Elaloui Md.pa 1516 Gants Cir Kissimmee FL 34744-6673 Ph: () - | Sidi A Elaloui Md.pa 1952 N John Young Pkwy Kissimmee FL 34741-3221 Ph: (407) 343-1284 |
| NPI Number | 1508114133 |
|---|---|
| Provider Enumeration Date | 08/29/2012 |
| Last Update Date | 08/29/2012 |
| Medicare PECOS PAC ID | 9830348903 |
|---|---|
| Medicare Enrollment ID | O20121004000477 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508114133 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | ME0074304 (Florida) | Primary |
| Provider Name | Sidi A Elalaoui |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023044674 PECOS PAC ID: 3274548029 Enrollment ID: I20060215000229 |
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