Bathala, Elizabeth Anne

Bathala, Elizabeth Anne is an individual health care provider with primary practice located at 1800 Barrs St , Jacksonville FL 32204-4704. She recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as her primary health care specialty. Bathala, Elizabeth Anne can be contacted via phone (904) 308-7300.

Contact Information

Primary practice address
1800 Barrs St Jacksonville FL 32204-4704
Phone: (904) 308-7300
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X ME93778 Florida

Profile Details

NPI number 1447233713
LBN Legal business name Bathala, Elizabeth Anne
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 21st, 2005
Last updated Aug 14th, 2023 - about last year

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 1447233713 NPPES
Florida MEDICAID 001492800

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