| Elizabeth Margaret Ennis, PA-C | |
|
550 Pope Ave Nw Ste 200, Winter Haven, FL 33881-4679 | |
| (863) 299-2630 | |
| Not Available |
| Full Name | Elizabeth Margaret Ennis |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 550 Pope Ave Nw Ste 200, Winter Haven, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063733376 | NPI | - | NPPES |
| PA-9105563 | Other | FL | DEPARTMENT OF HEALTH |
| 002747500 | Medicaid | FL | |
| 1780221774 | Other | NRCME | |
| 342264 | Other | FL | AVMED |
| PAX 0008401 | Other | FL | DOH PRESCRIBING |
| YO5FR | Other | FL | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA 9105563 (Florida) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Elizabeth Margaret Ennis, PA-C 5536 Ansley Way, Mount Dora, FL 32757-8000 Ph: (352) 400-8457 | Elizabeth Margaret Ennis, PA-C 550 Pope Ave Nw Ste 200, Winter Haven, FL 33881-4679 Ph: (863) 299-2630 |
Heather Bonifay Nelson, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 151 2nd St Sw, Winter Haven, FL 33880 Phone: 863-288-0960 Fax: 863-288-0963 | |
Ann Mccullough Efremoski, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 200 Avenue F Ne, Winter Haven, FL 33881 Phone: 863-291-1121 | |
Mr. Lazaro Yadier Guerrero, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 200 Avenue F Ne Ste 9118, Winter Haven, FL 33881 Phone: 863-297-1777 Fax: 863-297-1756 | |
Dr. Wilson Omar Rodriguez, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 217 E Central Ave, Winter Haven, FL 33880 Phone: 407-315-3637 | |
Shyam Kumar Rajendra Injety, MMS, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 200 Avenue F Ne, Winter Haven, FL 33881 Phone: 863-293-1121 | |
Erin Doucey, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1601 6th Street Se, Winter Haven, FL 33880 Phone: 863-419-9301 Fax: 863-419-9304 |