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Individual

ELYSEE EDMOND

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
3304 SW 34TH CIRCLE, SUITE 103, OCALA, FL 34474-3357
(352) 401-7575
(352) 401-7577
Mailing address
4881 NW 8TH AVE, SUITE 2, GAINESVILLE, FL 32605-4582
(352) 416-1082
(352) 373-6144

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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