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NPI Code Detail

MEDICARE: ELIZABETH NEUBAUER PA

MEDICARE: ELIZABETH NEUBAUER PA
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 Assistant15-01846KS

General Provider Information

NPI Number : 1194196733
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELIZABETH NEUBAUER PA
Provider Business Mailing Address
First Line : 6101 BLUE LAGOON DR STE 200
Second Line :
City : MIAMI
State : FL
Zip : 33126-3168
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 7527 STATE AVE
Second Line :
City : KANSAS CITY
State : KS
Zip : 66112-2815
Country : US
Telephone Number : 913-335-6986
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/08/2015
Last Update Date : 02/13/2026

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Directions to “ ELIZABETH NEUBAUER PA” Practice Location

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