Individual provider · NPI-1

Dr. Jonathan Neil Elliot Sr., MD

Family Medicine · Pensacola, FL

NPI number1124092689
StatusActive
Last updated in NPPESAug 25, 2021

Details

NPI
1124092689
Entity type
Individual (NPI-1)
Name
Dr. Jonathan Neil Elliot Sr.
Credential
MD
Sex
Male
Sole proprietor
Yes
Enumeration date
Feb 13, 2006
Certification date
Aug 25, 2021
Last updated
Aug 25, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine00027188ALYes
171000000X Military Health Care Provider––
2083A0100X Preventive Medicine, Aerospace Medicine27188AL

Practice location

220 Hovey Rd
Pensacola, FL 32508-1044

Phone 850-497-2059

Mailing address

220 Hovey Rd
Pensacola, FL 32508-1044

Phone 850-497-2059

Other practice locations

6000 W Highway 98
Family Medicine Depatment At Naval Hospital
Pensacola, FL 32512-0001

Phone 850-505-7171 · Fax 850-505-6501

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