Tavernari, Elizabeth

Tavernari, Elizabeth is an individual health care provider with primary practice located at 11826 State Road 54 , Odessa FL 33556-3496. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Tavernari, Elizabeth can be contacted via phone (813) 616-8001.

Contact Information

Primary practice address
11826 State Road 54 Odessa FL 33556-3496
Phone: (813) 616-8001
Fax: (813) 616-8015
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X ARNP9183863 Florida

Profile Details

NPI number 1144769811
LBN Legal business name Tavernari, Elizabeth
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 14th, 2017
Last updated Mar 12th, 2021 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1144769811 NPPES
Florida Other 5849875 AETNA
Florida Other CK0Y5 AETNA

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