Individual
MRS. BEVERLY DORSON ELMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
14451 UNIVERSITY COVE PL, TAMPA, FL 33613-3741
(813) 977-4001
(813) 971-3688
Mailing address
5130 SUNFOREST DR STE 300, TAMPA, FL 33634-6327
(727) 824-0780
(727) 568-6011
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9107359
FL
Other
Enumeration date
10/18/2013
Last updated
12/14/2021
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