Athans, Elizabeth Tatum

Athans, Elizabeth Tatum is an individual health care provider with primary practice located at 9145 Narcoossee Rd Suite 103, Orlando FL 32827-5768. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Athans, Elizabeth Tatum can be contacted via phone (407) 243-2040.

Contact Information

Primary practice address
9145 Narcoossee Rd Suite 103 Orlando FL 32827-5768
Fax: (407) 243-2043
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X ME1097486 Florida
Allopathic & Osteopathic Physicians / General Practice 208D00000X ME109486 Florida
Allopathic & Osteopathic Physicians / Pediatrics 208000000X ME109486 Florida

Profile Details

NPI number 1902057417
LBN Legal business name Athans, Elizabeth Tatum
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 2nd, 2008
Last updated May 26th, 2015 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1902057417 NPPES
Florida MEDICAID 003539500

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