Healthcare Provider Details

I. General information

NPI: 1760944268
Provider Name (Legal Business Name): CAROLINE FRANCES ELLIOTT MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CAROLINE FRANCES HILBURN MD

II. Dates (important events)

Enumeration Date: 04/03/2019
Last Update Date: 10/23/2023
Certification Date: 10/20/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 ARKONA CT UNIT 1604
WEST PALM BEACH FL
33401-7102
US

IV. Provider business mailing address

200 ARKONA CT UNIT 1604
WEST PALM BEACH FL
33401-7102
US

V. Phone/Fax

Practice location:
  • Phone: 503-269-2450
  • Fax:
Mailing address:
  • Phone: 503-269-2450
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207ZP0101X
TaxonomyAnatomic Pathology Physician
License Number154678
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: