Individual
ELIZABETH BURFORD HENDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-3003
(352) 273-5501
Mailing address
PO BOX 100129, GAINESVILLE, FL 32610-0129
(352) 273-5501
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
310462
LA
363A00000X
Physician Assistant
Primary
PA9113087
FL
Other
Enumeration date
12/16/2018
Last updated
12/18/2020
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