Individual
ELIZABETH CECE FALLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
409 BAYSHORE BLVD, HEPATOLOGY, TAMPA, FL 33606-2707
(813) 844-5659
(813) 844-1990
Mailing address
409 BAYSHORE BLVD, HEPATOLOGY, TAMPA, FL 33606-2707
(813) 844-5659
(813) 844-1990
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9104230
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004603100
—
FL
Enumeration date
10/29/2007
Last updated
12/23/2014
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