Healthcare Provider Details

I. General information

NPI: 1225169238
Provider Name (Legal Business Name): HADASSAH ELIORA AARONSON D.O, M.P.H.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/08/2007
Last Update Date: 10/06/2021
Certification Date: 07/01/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2814 S ATLANTIC AVE STE C
DAYTONA BEACH SHORES FL
32118-5802
US

IV. Provider business mailing address

2814 S ATLANTIC AVE STE C
DAYTONA BEACH SHORES FL
32118-5802
US

V. Phone/Fax

Practice location:
  • Phone: 240-731-6929
  • Fax: 703-783-0099
Mailing address:
  • Phone: 240-731-6929
  • Fax: 703-783-0099

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084H0002X
TaxonomyHospice and Palliative Medicine (Psychiatry & Neurology) Physician
License Number0102201608
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License Number0102201608
License Number StateVA
# 3
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number0102201608
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: