Mr Dale Ashby Elzie, LCSW | |
6420 W Newberry Rd Ste 100, Gainesville, FL 32605-6622 | |
(352) 332-3900 | |
(352) 332-5009 |
Full Name | Mr Dale Ashby Elzie |
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Gender | Male |
Speciality | Social Worker - Clinical |
Location | 6420 W Newberry Rd Ste 100, Gainesville, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1245332188 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | CSW003365 (Georgia) | Secondary |
1041C0700X | Social Worker - Clinical | 9003 (Florida) | Primary |
Entity Name | Florida Cancer Specialists & Research Institute, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760590962 PECOS PAC ID: 2567356058 Enrollment ID: O20040216000091 |
Mailing Address | Practice Location Address |
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Mr Dale Ashby Elzie, LCSW 4371 Veronica S Shoemaker Blvd, Attn Credentialing, Fort Myers, FL 33916-2216 Ph: (239) 274-8200 | Mr Dale Ashby Elzie, LCSW 6420 W Newberry Rd Ste 100, Gainesville, FL 32605-6622 Ph: (352) 332-3900 |
Mrs. Joanne Block, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4131 Nw 28th Ln, Suite 6, Gainesville, FL 32606 Phone: 352-375-3001 Fax: 352-375-1003 | |
Ms. Cathy Jeanne Price, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1601 Sw Archer Rd, Gainesville, FL 32608 Phone: 352-376-1611 | |
Charnette Merritt, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4300 Sw 13th St, Gainesville, FL 32608 Phone: 352-374-5600 Fax: 352-374-5608 | |
Jakira L Harris, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1601 Sw Archer Rd, Gainesville, FL 32608 Phone: 352-376-1611 | |
Amanda Cruce, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3031 Nw 161st Ct, Gainesville, FL 32609 Phone: 352-214-6300 | |
Sarah Lynn Bushnell, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5469 Sw 34th St, Gainesville, FL 32608 Phone: 352-548-1900 | |
Daimian Holiday Scott, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1315 Ne 7th Ter, Gainesville, FL 32601 Phone: 352-448-1052 |