Individual provider · Type 1 NPI

Elizabeth Davide, PA-C

Medical Physician Assistant · Largo, FL

NPI number 1053148445 Active

Practice location

12416 66th St Ste A
Largo, FL 33773-3430

Fax (727) 394-8661

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA9119487 (FL)

Medical Physician Assistant: Definition to come...

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About NPI 1053148445

Elizabeth Davide, PA-C's National Provider Identifier is 1053148445, issued on Sep 18, 2024. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Largo, FL. The record was last updated on Oct 6, 2025.