MARK ELLIOTT PA NPI 1649223959

NPI Information

  • NPI: 1649223959
  • Provider Name: MARK ELLIOTT, PA
  • Classification: Physician Assistant - 363AM0700X
  • Specialization: Medical
  • Entity Type: Individual
  • Address: HIGHWAY 20 WEST
    PALATKA, FL
    ZIP 32177
  • Phone: (352) 347-7920

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NPI Details

Mark Elliott, PA is a medical physician assistant in Palatka, FL. Mark Elliott, PA NPI is 1649223959. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

HIGHWAY 20 WEST
PALATKA, FL
ZIP 32177
Phone: (352) 347-7920

The enumeration date for this NPI number is 5/18/2006 and was last updated on 10/29/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207P00000XEmergency MedicinePA2581FLORIDANo
2363AM0700XPhysician AssistantMedicalPA2014-0079NEW MEXICOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1290418700MEDICARE ID-TYPE UNSPECIFIEDFLORIDA
2S58045MEDICARE UPINFLORIDA
3E0913DMEDICARE ID-TYPE UNSPECIFIEDFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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