| Element Medical of Cape Coral LLC | |
|
822 Del Prado Blvd S Ste 120 Cape Coral FL 33990-2687 | |
| (239) 308-1006 | |
| (239) 308-1007 |
| Full Name | Element Medical of Cape Coral LLC |
|---|---|
| Speciality | General Practice |
| Location | 822 Del Prado Blvd S Ste 120, Cape Coral, Florida |
| Authorized Official Name and Position | David Phillips (PHYSICIAN) |
| Authorized Official Contact | 2393081006 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Element Medical of Cape Coral LLC 2637 E Atlantic Blvd # 1385 Pompano Beach FL 33062-4939 Ph: (239) 308-1006 | Element Medical of Cape Coral LLC 822 Del Prado Blvd S Ste 120 Cape Coral FL 33990-2687 Ph: (239) 308-1006 |
| NPI Number | 1679467179 |
|---|---|
| Provider Enumeration Date | 06/07/2025 |
| Last Update Date | 06/07/2025 |
| Certification Date | 06/07/2025 |
| Medicare PECOS PAC ID | 6507362092 |
|---|---|
| Medicare Enrollment ID | O20251002005108 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679467179 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | () | Primary |
| Provider Name | David Alexander Phillips |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1194165688 PECOS PAC ID: 2264721661 Enrollment ID: I20220711000290 |
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