Whalio Doctors

NPI 1003387333

Elizabeth Burford Henderson, PAC

Practitioner Physician Assistant Gainesville, FL

Practice location

Address
1600 SW Archer Rd, Gainesville, FL 32610-3003
Phone
(352) 273-5501
Mailing address
PO Box 100129, Gainesville, FL 32610-0129

Registered specialties (2)

Physician Assistant Primary
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence PA9113087 (FL)
Physician Assistant
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 310462 (LA)

Registry record

NPI
1003387333
Entity type
Individual
Sex (as registered)
Female
NPI issued
16 Dec 2018
Record last updated
18 Dec 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.