Provider Demographics
NPI:1033324975
Name:ELLIOTT, CAVEL SYLVIA (NURSE PRACTITIONER)
Entity Type:Individual
Prefix:MS
First Name:CAVEL
Middle Name:SYLVIA
Last Name:ELLIOTT
Suffix:
Gender:F
Credentials:NURSE PRACTITIONER
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:581 N PARK AVE UNIT 4128
Mailing Address - Street 2:
Mailing Address - City:APOPKA
Mailing Address - State:FL
Mailing Address - Zip Code:32704-8731
Mailing Address - Country:US
Mailing Address - Phone:407-537-2767
Mailing Address - Fax:407-612-2312
Practice Address - Street 1:1475 W ORANGE BLOSSOM TRL
Practice Address - Street 2:
Practice Address - City:APOPKA
Practice Address - State:FL
Practice Address - Zip Code:32712
Practice Address - Country:US
Practice Address - Phone:407-537-2767
Practice Address - Fax:407-612-2312
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-14
Last Update Date:2019-04-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLAPRN2041942363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02581859Medicaid
NY0543G1Medicare ID - Type Unspecified
NYQ14072Medicare UPIN