Individual provider · Type 1 NPI

Elijah Shalaar Dorneval

Surgical Physician Assistant · Tallahassee, FL

NPI number 1124859590 Active

Practice location

1401 Centerville Road, Suite 300
Tallahassee, FL 32308

Call (850) 877-5115 Map

Mailing address

1401 Centerville Road Suite 300
Tallahassee, FL 32308

Other practice locations

  • Florida State University College Of Medicine, School Of Pa Practice 1115 W Call Street, Tallahassee, FL 32306 · (786) 623-1784

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Surgical Physician Assistant Primary 363AS0400XNone listed

Surgical Physician Assistant: Definition to come...

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About NPI 1124859590

Elijah Shalaar Dorneval's National Provider Identifier is 1124859590, issued on Aug 8, 2024. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Tallahassee, FL. The record was last updated on Mar 5, 2025.