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Individual

MRS. MARISA NICOLE ELGIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
8333 N DAVIS HWY, PENSACOLA, FL 32514-6050
(850) 474-8386
(850) 474-8522
Mailing address
8333 N DAVIS HWY, PENSACOLA, FL 32514-6050
(850) 474-8100
(850) 474-8083

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA9107888
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100198925
WI
Enumeration date
07/29/2014
Last updated
06/26/2023
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