Provider Demographics
NPI:1346291341
Name:ELSTON, JEFFREY JAMES (MD)
Entity Type:Individual
Prefix:DR
First Name:JEFFREY
Middle Name:JAMES
Last Name:ELSTON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:616 E ALTAMONTE DR
Mailing Address - Street 2:SUITE 203
Mailing Address - City:ALTAMONTE SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:32701-4823
Mailing Address - Country:US
Mailing Address - Phone:407-265-1109
Mailing Address - Fax:407-265-1514
Practice Address - Street 1:616 E ALTAMONTE DR
Practice Address - Street 2:SUITE 203
Practice Address - City:ALTAMONTE SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:32701-4823
Practice Address - Country:US
Practice Address - Phone:407-265-1109
Practice Address - Fax:407-265-1514
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME 77929207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLF74149Medicare UPIN