Individual
ELISABETH HENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2100 CENTERVILLE RD, TALLAHASSEE, FL 32308-4379
(850) 216-0100
(850) 216-0112
Mailing address
1300 MEDICAL DR, TALLAHASSEE, FL 32308-4646
(850) 216-0100
(850) 216-0112
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA9108904
FL
Other
Enumeration date
08/28/2015
Last updated
04/25/2024
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