Individual
ELIZABETH ANNE BATHALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1800 BARRS ST, JACKSONVILLE, FL 32204-4704
(904) 308-7300
Mailing address
1320 S UNIVERSITY DR STE 500, FORT WORTH, TX 76107-5732
(817) 321-0404
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
ME93778
FL
2085R0202X
Diagnostic Radiology Physician
N5558
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001492800
—
FL
Enumeration date
11/21/2005
Last updated
10/15/2025
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