Kevin E Elder in Tampa - Sports Medicine

Kevin E Elder - NPI 1598768160

Kevin E Elder is a Sports Medicine in Tampa, Florida. Kevin E Elder practices all healthcare services and medical treatments related to Sports Medicine. The NPI Number for Kevin E Elder is 1598768160. The last update date is 2022-03-21.

Kevin E Elder's current location address is 711 S Dale Mabry Hwy Ste 303, Tampa, Florida. You can contact this provider via phone number 8136352107 and fax number 8136056157. The mailing address for Kevin E Elder is 711 S Dale Mabry Hwy Ste 303, Tampa, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name Kevin E Elder
Address 711 S Dale Mabry Hwy Ste 303, Tampa, Florida
Phone Number 8136352107
Fax Number 8136056157
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1598768160
Provider Enumeration Date 2005-05-27
Last Updated Date 2022-03-21

Provider Mailing Address Detail

Address 711 S Dale Mabry Hwy Ste 303
City Tampa
State Florida (FL)
Post Code 3360944000
Phone Number 8136352107
Fax Number 8136056157

Provider's Primary Taxonomy Detail

Speciality Sports Medicine
Taxonomy 207Qs0010X
Licence No ME81446
Definition:
A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
266540900 FL --

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FAQs about Kevin E Elder

What is the unique 10-digit identifier code issued to Kevin E Elder by the Centers for Medicare & Medicaid Services?

The Kevin E Elder has been assigned the NPI (National Provider Identifier) 1598768160 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you provide the complete address where Kevin E Elder is physically located?

The Kevin E Elder is situated at the following address: 711 S Dale Mabry Hwy Ste 303, Tampa, FL 3360944000.

What is Kevin E Elder's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Kevin E Elder is Sports Medicine, and the taxonomy classification code that categorizes this area of expertise is 207Qs0010X.

On what date did the Centers for Medicare & Medicaid Services issue the 1598768160 to Kevin E Elder?

The Kevin E Elder received its 1598768160 assignment from the Centers for Medicare & Medicaid Services on 2005-05-27.

When was the information pertaining to Kevin E Elder most recently updated or revised?

The details related to Kevin E Elder, including its address, specialty, and other relevant information, were last updated or revised on 2022-03-21.

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