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
Phone: (407) 243-2040
Fax: (407) 243-2043
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1902057417 | NPPES |
Florida | MEDICAID | 003539500 |
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