Elliott, Mark

Elliott, Mark is an individual health care provider with primary practice located at Highway 20 West , Palatka FL 32177. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is his primary health care specialty. Elliott, Mark can be contacted via phone (352) 347-7920.

Contact Information

Primary practice address
Highway 20 West Palatka FL 32177
Phone: (352) 347-7920
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X PA2581 Florida
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA2014-0079 New Mexico

Profile Details

NPI number 1649223959
LBN Legal business name Elliott, Mark
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date May 18th, 2006
Last updated Oct 29th, 2014 - about 12 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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