DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: ELISABETH HENRY PA

MEDICARE: ELISABETH HENRY 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
1363AM0700XMedical Physician AssistantPA9108904FL

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 : 1417324104
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELISABETH HENRY PA
Provider Business Mailing Address
First Line : 1300 MEDICAL DR
Second Line :
City : TALLAHASSEE
State : FL
Zip : 32308-4646
Country : US
Telephone Number : 850-216-0100
Fax Number : 850-216-0112
Provider Business Practice Location Address
First Line : 2100 CENTERVILLE RD
Second Line :
City : TALLAHASSEE
State : FL
Zip : 32308-4379
Country : US
Telephone Number : 850-216-0100
Fax Number : 850-216-0112
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/28/2015
Last Update Date : 04/25/2024

Similar Medicare Providers

1376106823 — MISS VERONICA CORACI PA-C
Practice Location Address:
2100 CENTERVILLE RD
TALLAHASSEE, FL
32308-4379
Practice Phone: 850-216-0100
Practice Fax: 850-216-0138
1982603965 — DR. FARHAT SELIM KHAIRALLAH M.D.
Practice Location Address:
2100 CENTERVILLE RD
TALLAHASSEE, FL
32308-4379
Practice Phone: 850-216-0100
Practice Fax: 850-216-0138
1598752412 — MR. GAD A SILBERMAN M.D.
Practice Location Address:
2100 CENTERVILLE RD
TALLAHASSEE, FL
32308-4379
Practice Phone: 850-216-0178
Practice Fax:
1790913382 — SIVA MOHAN KROTHAPALLI
Practice Location Address:
2100 CENTERVILLE RD
TALLAHASSEE, FL
32308-4379
Practice Phone: 850-216-0100
Practice Fax:
1740661420 — MAUREEN SANDER ARNP
Practice Location Address:
2100 CENTERVILLE RD
TALLAHASSEE, FL
32308-4379
Practice Phone: 850-216-0100
Practice Fax: 850-431-6315
1396365623 — TALLAHASSEE MEMORIAL HEALTHCARE INC
Practice Location Address:
2100 CENTERVILLE RD
TALLAHASSEE, FL
32308-4379
Practice Phone: 850-216-0100
Practice Fax:

Directions to “ ELISABETH HENRY PA” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.