Basic Information
| Provider Information | |||||||||
| NPI: | 1477736288 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | ELKIN | ||||||||
| FirstName: | AARON | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1130 E HALLANDALE BEACH BLVD | ||||||||
| Address2: | SUITE A | ||||||||
| City: | HALLANDALE BEACH | ||||||||
| State: | FL | ||||||||
| PostalCode: | 330094416 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9544580909 | ||||||||
| FaxNumber: | 9544564475 | ||||||||
| Practice Location | |||||||||
| Address1: | 1130 E HALLANDALE BEACH BLVD | ||||||||
| Address2: | SUITE A | ||||||||
| City: | HALLANDALE BEACH | ||||||||
| State: | FL | ||||||||
| PostalCode: | 330094416 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9544580909 | ||||||||
| FaxNumber: | 9544564475 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 12/14/2007 | ||||||||
| LastUpdateDate: | 12/14/2007 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207V00000X | ME68397 | FL | Y | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology |
ID Information
| ID | Type | State | Issuer | Description | 378799100 | 05 | FL | MEDICAID |