Individual provider · Type 1 NPI

Reon Kenneth Sean Elder, MDDS

Student in an Organized Health Care Education/Training Program · Miami, FL

NPI number 1487531828 Active

Practice location

1611 NW 12th Ave
Miami, FL 33136-1096

Call (305) 585-1111 Map

Mailing address

176 NW 25th St Unit 840B
Miami, FL 33127-4639

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000X43724 (FL)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1487531828

Reon Kenneth Sean Elder, MDDS's National Provider Identifier is 1487531828, issued on Aug 18, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Miami, FL. The record was last updated on Aug 18, 2025.