Provider Demographics
NPI:1033574280
Name:ELYSEE H SINCLAIR MD
Entity Type:Organization
Organization Name:ELYSEE H SINCLAIR MD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ELYSEE
Authorized Official - Middle Name:H
Authorized Official - Last Name:SINCLAIR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:954-340-8797
Mailing Address - Street 1:10167 NW 31ST ST
Mailing Address - Street 2:SUITE 200
Mailing Address - City:CORAL SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33065-6152
Mailing Address - Country:US
Mailing Address - Phone:954-340-8797
Mailing Address - Fax:954-340-8795
Practice Address - Street 1:10167 NW 31ST ST
Practice Address - Street 2:SUITE 200
Practice Address - City:CORAL SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33065-6152
Practice Address - Country:US
Practice Address - Phone:954-340-8797
Practice Address - Fax:954-340-8795
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-12-15
Last Update Date:2015-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyGroup - Single Specialty