Elliot, Elizabeth Jean

Elliot, Elizabeth Jean is an individual health care provider with primary practice located at 205 Dr. Martin Luther King St. North , Saint Petersburg FL 33701-3549. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Gerontology, which is considered as her primary health care specialty. Elliot, Elizabeth Jean can be contacted via phone (727) 824-6900.

Contact Information

Primary practice address
205 Dr. Martin Luther King St. North Saint Petersburg FL 33701-3549
Phone: (727) 824-6900
Fax: (727) 820-4294
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X ARNP870132 Florida

Profile Details

NPI number 1982672853
LBN Legal business name Elliot, Elizabeth Jean
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 8th, 2006
Last updated Jan 13th, 2011 - about 15 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1982672853 NPPES
Florida MEDICAID 033420100

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