Provider Demographics
NPI:1801595251
Name:PARDO, ELVIRA (APRN)
Entity type:Individual
Prefix:
First Name:ELVIRA
Middle Name:
Last Name:PARDO
Suffix:
Gender:
Credentials:APRN
Other - Prefix:
Other - First Name:ELVIRA
Other - Middle Name:
Other - Last Name:PEREZ COBAS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:APRN
Mailing Address - Street 1:15820 SW 91ST CT
Mailing Address - Street 2:
Mailing Address - City:PALMETTO BAY
Mailing Address - State:FL
Mailing Address - Zip Code:33157-1951
Mailing Address - Country:US
Mailing Address - Phone:704-431-0236
Mailing Address - Fax:
Practice Address - Street 1:15820 SW 91ST CT
Practice Address - Street 2:
Practice Address - City:PALMETTO BAY
Practice Address - State:FL
Practice Address - Zip Code:33157-1951
Practice Address - Country:US
Practice Address - Phone:704-431-0236
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-02-24
Last Update Date:2025-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11023172363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily