Provider Demographics
NPI:1134106453
Name:ELIAS, LEWIS R (MD)
Entity Type:Individual
Prefix:DR
First Name:LEWIS
Middle Name:R
Last Name:ELIAS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:4302 ALTON RD
Mailing Address - Street 2:SUITE 300
Mailing Address - City:MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33140-2891
Mailing Address - Country:US
Mailing Address - Phone:305-672-9989
Mailing Address - Fax:305-672-8711
Practice Address - Street 1:4302 ALTON RD
Practice Address - Street 2:SUITE 300
Practice Address - City:MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33140-2891
Practice Address - Country:US
Practice Address - Phone:305-672-9989
Practice Address - Fax:305-672-8711
Is Sole Proprietor?:No
Enumeration Date:2005-12-28
Last Update Date:2008-01-03
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLME 14388207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLD59727Medicare UPIN
FL91598XMedicare PIN