Organization · NPI-2

Elyaman Medical Services PA

Family Medicine · Ocala, FL

NPI number1609251685

StatusActive

Last updated in NPPESApr 4, 2023

Details

NPI: 1609251685
Entity type: Organization (NPI-2)
Legal business name: Elyaman Medical Services PA
Organization subpart: Yes
Enumeration date: Jul 20, 2015
Certification date: Apr 4, 2023
Last updated: Apr 4, 2023

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
207Q00000X	Family Medicine	–	–	Yes
207R00000X	Internal Medicine	–	–
208D00000X	General Practice	–	–
208VP0014X	Pain Medicine, Interventional Pain Medicine	–	–
213E00000X	Podiatrist	–	–
363A00000X	Physician Assistant	–	–
363LA2200X	Nurse Practitioner, Adult Health	–	–
363LF0000X	Nurse Practitioner, Family	–	–
363LG0600X	Nurse Practitioner, Gerontology	–	–
207QH0002X	Family Medicine, Hospice and Palliative Medicine	–	–

Other names

Central Florida Interventional Pain Clinic (Doing Business As)
Absolute Elder Care (Doing Business As)

Practice location

1720 Se 16th Ave Ste 304
Ocala, FL 34471-4620

Phone 352-857-8417 · Fax 352-877-2083

Mailing address

1720 Se 16th Ave Ste 304c
Ocala, FL 34471-4620

Phone 352-857-8417 · Fax 352-877-2083

Authorized official

Waleed A Elyaman
MD/Owner
3522336936

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