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Individual
ELYSEE EDMOND
Active
Individual
ELYSEE EDMOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
163W00000X
Registered Nurse
RN9629527
FL
363A00000X
Physician Assistant
10352
AZ
363A00000X
Physician Assistant
1597
PR
363A00000X
Physician Assistant
Primary
PACN80
FL
363A00000X
Physician Assistant
TPPA535
FL
Other
Enumeration date
04/09/2019
Last updated
02/19/2026
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