Individual
ELIZABETH ANNE VANHEMEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1350 S HICKORY ST, MELBOURNE, FL 32901-3224
(321) 434-7298
Mailing address
PO BOX 361907, MELBOURNE, FL 32936-1907
(321) 258-2831
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA 3575
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
290868900
—
FL
Enumeration date
06/08/2006
Last updated
01/25/2012
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