Most Relevant Information
Provider Data
| NPI Number: | 1003387333 |
| Provider Name: | ELIZABETH BURFORD HENDERSON PA-C |
| Entity Type: | Individual |
| Taxonomy Code: | 363A00000X |
| Specialty: | Physician Assistant |
| License Number: | 310462 |
Most Important Dates
| Enumeration Date: | 12/16/2018 |
| Last Updated: | 12/18/2020 |
Provider Practice Location
1600 SW ARCHER RD
GAINESVILLE
FL
326103003
Practice Location Phone/Fax
| Phone: | 3522735501 |
| Fax: |
Provider Mailing Location
PO BOX 100129
GAINESVILLE
FL
326100129
Provider Mailing Phone/Fax
| Phone: | 3522735501 |
| Fax: |