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NPI Code Detail

MEDICARE: ATLANTA ELIZABETH CRANIAS PA-C

MEDICARE: ATLANTA ELIZABETH CRANIAS PA-C
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
1363A00000XPhysician Assistant
2363A00000XPhysician AssistantPA9114576FL

Other Identifiers

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

General Provider Information

NPI Number : 1720656531
Entity Type Code : Individual
Provider Name (Legal Business Name) : ATLANTA ELIZABETH CRANIAS PA-C
Provider Business Mailing Address
First Line : PO BOX 102222
Second Line :
City : ATLANTA
State : GA
Zip : 30368-2222
Country : US
Telephone Number : 239-432-8500
Fax Number :
Provider Business Practice Location Address
First Line : 2824 ENTERPRISE RD
Second Line :
City : ORANGE CITY
State : FL
Zip : 32763-8428
Country : US
Telephone Number : 386-774-7411
Fax Number : 386-774-7412
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/16/2021
Last Update Date : 03/05/2026

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Directions to “ ATLANTA ELIZABETH CRANIAS PA-C” Practice Location

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