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Contact Information

MARK ELLIOTT, PA
HIGHWAY 20 WEST
PALATKA, FL32177
 Phone: 352-347-7920
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Medical

363AM0700X 97 Physician Assistant
 

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for MARK ELLIOTT · (Male)

NPI Number 1649223959
Status Active
Credentials PA (Physician Assistant)
Entity Individual
Enumeration date 05/18/2006
Last updated 10/29/2014 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • FL License # PA2581
  • NM License # PA2014-0079
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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