Elzie, John L.
Elzie, John L. is an individual health care provider with primary practice located at 1881 Professional Park Cir Ste 80 , Tallahassee FL 32308-4536. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Elzie, John L. can be contacted via phone (850) 402-5454.Contact Information
Primary practice address
1881 Professional Park Cir Ste 80
Tallahassee FL 32308-4536
Phone: (850) 402-5454
Fax: (850) 402-5451
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | ME82183 | Florida |
Profile Details
| NPI number | 1396734752 |
|---|---|
| LBN Legal business name | Elzie, John L. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 18th, 2005 |
| Last updated | Feb 24th, 2020 - about 5 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 | 1396734752 | NPPES |
| Florida | MEDICAID | 070853400 |
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