David O. Elliott M.D.PA

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

ME38031 Issued in FL

Legal business name

DAVID O. ELLIOTT M.D.PA

Practice address

1218 W Dixie Ave
Suite B
Leesburg, FL 34748-6380

Phone

(352) 326-5132

Fax

(352) 326-3315

NPI assigned

Mar 12, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Eva Yolanda Elliott, PHD

Title

Office Manager

Phone

(352) 326-5132

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David Owen Elliott, M.D.

  • Pediatric Adolescent Medicine Physician
  • Leesburg, FL
  • NPI 1528158045
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1426118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426118400000",
    "number": "1073906202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1218 W DIXIE AVE STE B",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347486380",
            "telephone_number": "352-326-5132",
            "fax_number": "352-326-3315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1218 W DIXIE AVE",
            "address_2": "SUITE B",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347486380",
            "telephone_number": "352-326-5132",
            "fax_number": "352-326-3315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID O. ELLIOTT M.D.PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-12",
        "last_updated": "2015-03-12",
        "status": "A",
        "authorized_official_last_name": "ELLIOTT",
        "authorized_official_first_name": "EVA YOLANDA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "352-326-5132",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME38031",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "067316100",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1528158045",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dante V Nuzzo MD PA
• Marshall Heath Darby, APRN
• Foy Edward Dark Jr., DC
• Abid Darr, MD
• Tulsi B Dave
• David R Brunetti M D P a
• Carey Davis, PTA
• Clayton Scott Davis, LPTA
• Marlana Davis
• Tarson De Mesquita Passos, PT

• Pediatrics Physician in Leesburg, FL
• Providers in Leesburg, FL by specialty
• Pediatrics Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.