Provider Demographics
NPI:1003363417
Name:QAYUM, ELSA (ARNP)
Entity Type:Individual
Prefix:
First Name:ELSA
Middle Name:
Last Name:QAYUM
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:8900 NORTH KENDALL DRIVE
Mailing Address - Street 2:BAPTIST SOTH FLORIDA ICU UNIT
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33176
Mailing Address - Country:US
Mailing Address - Phone:786-596-6944
Mailing Address - Fax:786-596-7590
Practice Address - Street 1:8900 NORTH KENDALL DRIVE
Practice Address - Street 2:ICU UNIT
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33176
Practice Address - Country:US
Practice Address - Phone:786-596-6944
Practice Address - Fax:786-596-7590
Is Sole Proprietor?:Yes
Enumeration Date:2016-09-01
Last Update Date:2020-06-10
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLAPRN9334022363LC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LC0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerCritical Care Medicine