MEDICARE: ELIZABETH A KAUFFMAN

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	235Z00000X	Speech-Language Pathologist	SA17137	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

General Provider Information

NPI Number	:	1407154701
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELIZABETH A KAUFFMAN

Provider Business Mailing Address
First Line	:	2111 W SWANN AVE STE 100
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33606-2478
Country	:	US
Telephone Number	:	813-251-1618
Fax Number	:	813-492-7814

Provider Business Practice Location Address
First Line	:	2111 W SWANN AVE STE 100
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33606-2478
Country	:	US
Telephone Number	:	813-251-1618
Fax Number	:	813-492-7814

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

Provider Enumeration Date	:	03/10/2011
Last Update Date	:	01/11/2024

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Directions to “ ELIZABETH A KAUFFMAN ” Practice Location

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