MISS ELIZABETH ANNE ELLIOTT PA-C NPI 1649580085

NPI Information

NPI: 1649580085
Provider Name: MISS ELIZABETH ANNE ELLIOTT, PA-C
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

PECOS Registration: Yes

Address:
6405 N FEDERAL HIGHWAY
SUITE 200
FORT LAUDERDALE, FL
ZIP 33308
Phone: (954) 772-2200
Get Directions

MISS Elizabeth Anne Elliott, PA-C is a medical physician assistant in Fort Lauderdale, FL. MISS Elizabeth Anne Elliott, PA-C NPI is 1649580085. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

6405 N FEDERAL HIGHWAY
SUITE 200
FORT LAUDERDALE, FL
ZIP 33308-412
Phone: (954) 772-2200
Fax: (954) 772-2236

The NPI 1649580085 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/19/2010 and was last updated on 10/19/2016.

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
1	363AM0700X	Physician Assistant	Medical	PA9105634	FLORIDA	Yes

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
1	Y0M7U	OTHER	FLORIDA	FL BLUE
2	1095336	OTHER	FLORIDA	NCCPA
3	PA9105634	OTHER	FLORIDA	FL LICENSE
4	016349500	MEDICAID	FLORIDA
5	HW361X	MEDICARE PIN	FLORIDA

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: 11/14/2023

NPI Synchronization or Removal

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