ELIZABETH BETTIS


Address: 4500 San Pablo Rd, Jacksonville, FL 32224
Phone: 9049532000

ELIZABETH BETTIS (NPI# 1326565078) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1326565078
Entity Type Individual
Full Name ELIZABETH BETTIS
Practice Address 4500 San Pablo Rd
Jacksonville
FL 32224
Mailing Address 4500 San Pablo Rd
Jacksonville Beach
FL 32224
Practice Telephone 9049532000
Mailing Telephone 9049532000
Enumeration Date 2017-08-24
Last Update Date 2020-10-09
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant 9910699 FL Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
305 Memorial Medical Pkwy Ste 206, Daytona Beach, FL 321175169 8553033627

Office Location

Street Address 4500 SAN PABLO RD
City JACKSONVILLE
State FL
Zip Code 32224

Providers in the same location

NPI Name Taxonomy Address Enumeration
1275791055 Bradford Scott Hoppe Radiology 4500 San Pablo Rd, Jacksonville, FL 32224 2008-05-28
1336777275 Zeynep Idil Seckin Internal Medicine 4500 San Pablo Rd, Jacksonville, FL 32224 2020-03-27
1215564950 Robyn Lee Reese Family Medicine 4500 San Pablo Rd, Jacksonville, FL 32224 2020-03-24
1003443698 Andrea V Rivero Internal Medicine 4500 San Pablo Rd, Jacksonville, FL 32224 2020-03-24
1457917692 Stacey Ann Mills Occupational Therapist 4500 San Pablo Rd, Jacksonville, FL 32224 2019-05-14
1467912352 Anthony Chuprin Internal Medicine 4500 San Pablo Rd, Jacksonville, FL 32224 2019-03-25
1821557182 Haares Syed Mirzan Internal Medicine 4500 San Pablo Rd, Jacksonville, FL 32224 2019-03-17
1649776485 Kimberly Robelin Internal Medicine 4500 San Pablo Rd, Jacksonville, FL 32224 2018-04-02
1649773284 Autumn Nicole Jones Social Worker 4500 San Pablo Rd, Jacksonville, FL 32224 2018-03-09
1285177832 Jean Sheridan-young Nurse Practitioner 4500 San Pablo Rd, Jacksonville, FL 32224 2016-11-30
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1356974372 Noelle Parker Specialist/Technologist 1 Unf Drivve, Jacksonville, FL 32224 2020-02-18
1124685102 Charcy Rene Stiller Specialist/Technologist 1 Unf Dr., Jacksonville, FL 32224 2019-05-24
1265097513 Mayo Clinic Jacksonville Ambulance 13970 Zumbro Dr, Jacksonville, FL 32224 2019-05-02
1639681471 Brigantti Anesthesia & Spine Care Clinic/Center 1361 13th Ave South Suite #210, Jacksonville, FL 32224 2017-11-02
1093240061 Beric Emilio Berlioz Anesthesiology 4500 San Pablo Rd S # J, Jacksonville, FL 32224 2017-04-26
1609240746 Matthew James Dailey Nurse Anesthetist, Certified Registered 2500 San Pablo Rd S, Jacksonville, FL 32224 2015-11-29
1003299603 Upscale Personal Care Home Assisted Living Facility 4375 Autumn River Road, Jacksonville, FL 32224 2015-07-01
1629459375 Bellanid Fonseca Social Worker 3694 Summerlin Ln E, Jacksonville, FL 32224 2015-06-17
1164840500 Nicholas Scotto Physical Therapist 11555 Central Pkwy Ste 1104, Jacksonville, FL 32224 2014-04-02
1497093454 Quicker Care Urgent Care Point of Service 13770 Beach Blvd., Unit # 4, Jacksonville, FL 32224 2013-01-27
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Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1831799527 Emily Vander Zee Physician Assistant 6680 Bennett Creek Dr Apt 213, Jacksonville, FL 32216-0018 2020-10-30
1245830314 Jonathan V Korah Physician Assistant 6650 Corporate Center Pkwy Apt 1108, Jacksonville, FL 32216-8725 2020-10-28
1255931473 Rachel Gavrielle Stahly Physician Assistant 11438 Emuness Rd, Jacksonville, FL 32218-4050 2020-10-27
1760099071 Laura Alexandra Ramos-heckman Physician Assistant 2014 Capistrano Dr, Jacksonville, FL 32224-3091 2020-09-30
1184230583 Julian Clouse Physician Assistant 9803 Creekfront Rd Apt 307, Jacksonville, FL 32256-8449 2020-09-21
1962016717 Stephanie Benton Gentry Physician Assistant 3179 Shadow Creek Rd, Jacksonville, FL 32226-2386 2020-08-31
1629689435 Monarch Mental Health Association Physician Assistant 5393 Roosevelt Blvd Ste 8, Jacksonville, FL 32210-8424 2020-08-14
1235749425 Nicole Lhommedieu Physician Assistant 3850 Marnie Pl, Jacksonville, FL 32223-3541 2020-08-03
1861002123 Naw-am Acio Daniels Physician Assistant 7467 Volley Dr N, Jacksonville, FL 32277-9368 2020-08-03
1750906640 Veronica Adriana Dediego Physician Assistant 915 W Monroe St Ste 300, Jacksonville, FL 32204-1177 2020-06-16
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Competitor

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City JACKSONVILLE
Zip Code 32224

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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