Elliott, Elizabeth Anne
Elliott, Elizabeth Anne is an individual health care provider with primary practice located at 6405 N Federal Highway Suite 200, Fort Lauderdale FL 33308-1412. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Elliott, Elizabeth Anne can be contacted via phone (954) 772-2200.Contact Information
Primary practice address
6405 N Federal Highway Suite 200
Fort Lauderdale FL 33308-1412
Phone: (954) 772-2200
Fax: (954) 772-2236
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | PA9105634 | Florida |
Profile Details
| NPI number | 1649580085 |
|---|---|
| LBN Legal business name | Elliott, Elizabeth Anne |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 19th, 2010 |
| Last updated | Oct 19th, 2016 - about 8 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 | 1649580085 | NPPES |
| Florida | Other | 1095336 | NCCPA |
| Florida | Other | Y0M7U | NCCPA |
| Florida | MEDICAID | 016349500 | NCCPA |
| Florida | Other | PA9105634 | NCCPA |
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