Elzbieta Rivela, PA-C
Physician Assistant in Jacksonville, FL. Individual provider (NPI-1).
NPI number1164070884
StatusActive
Last updated in NPPESNov 18, 2022
Details
- NPI
- 1164070884
- Entity type
- Individual (NPI-1)
- Name
- Elzbieta Rivela
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 27, 2019
- Certification date
- Nov 18, 2022
- Last updated
- Nov 18, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 085.007145 | IL | Yes |
| 363A00000X | Physician Assistant | – | – |
Other names
- Elzbieta Madej (Former Name)
Practice location
1536 North Jefferson StJacksonville, FL 32209
Phone 904-475-5800
Mailing address
1536 N Jefferson StJacksonville, FL 32209-6525
Phone 904-475-5800
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