Provider Demographics
NPI:1447262993
Name:ELPEDES, FELIX SABALDAN JR (MD)
Entity type:Individual
Prefix:
First Name:FELIX
Middle Name:SABALDAN
Last Name:ELPEDES
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 5839
Mailing Address - Street 2:
Mailing Address - City:LAKE WORTH
Mailing Address - State:FL
Mailing Address - Zip Code:33466-5839
Mailing Address - Country:US
Mailing Address - Phone:561-296-2273
Mailing Address - Fax:561-296-0495
Practice Address - Street 1:3199 LAKE WORTH RD
Practice Address - Street 2:UNIT B4
Practice Address - City:PALM SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33461-3652
Practice Address - Country:US
Practice Address - Phone:561-296-2273
Practice Address - Fax:561-296-0495
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-13
Last Update Date:2010-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0071449207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL250963600Medicaid
FL250963600Medicaid
FL32400VMedicare PIN