MEDICARE: ELIZABETH PINKASON SAUNDERS DO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	OS19493	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1255953196
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELIZABETH PINKASON SAUNDERS DO

Provider Business Mailing Address
First Line	:	2995 DREW ST FL 2
Second Line	:
City	:	CLEARWATER
State	:	FL
Zip	:	33759-3012
Country	:	US
Telephone Number	:	727-315-7496
Fax Number	:

Provider Business Practice Location Address
First Line	:	11178 STATE ROAD 54 STE A
Second Line	:
City	:	NEW PORT RICHEY
State	:	FL
Zip	:	34655-2266
Country	:	US
Telephone Number	:	727-372-4200
Fax Number	:	727-333-6371

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/14/2020
Last Update Date	:	09/01/2023

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