Individual
ELISA D. ENDICOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
801 N ORANGE AVE, SUITE 520, ORLANDO, FL 32801-1026
(407) 992-0660
(407) 992-7702
Mailing address
801 N ORANGE AVE, SUITE 520, ORLANDO, FL 32801-1026
(407) 992-0660
(407) 992-7702
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
PA3672
FL
363A00000X
Physician Assistant
PA3672
FL
Other
Enumeration date
05/18/2006
Last updated
02/17/2011
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