Elijah Shalaar Dorneval
NPI #1124859590 in Tallahassee, Florida
Provider Information
- NPI Number
- 1124859590
- Entity Type
- Individual
- Name
- Elijah Shalaar Dorneval
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant - Surgical
- Enumeration Date
- Aug 8, 2024
- Last Updated
- Mar 5, 2025
Practice Location
- Address
- 1401 CENTERVILLE ROAD, SUITE 300
- City
- Tallahassee
- State
- Florida
- ZIP Code
- 32308
- Phone
- (850) 877-5115
Specialties & Taxonomy Codes
| Specialty |
|---|
| Student in an Organized Health Care Education/Training Program |
| Physician Assistant - Surgical — Surgical |
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