DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ELIJAH SHALAAR DORNEVAL

Active

ELIJAH SHALAAR DORNEVAL is a Surgical Physician Assistant healthcare provider located in TALLAHASSEE, Florida. NPI 1124859590 is currently active in the NPPES registry. Verify at CMS.

Surgical Physician Assistant · TALLAHASSEE, FL

Registration Details

NPI Number
1124859590
Provider Type
Individual
Gender
Male
NPI Issued
Aug 8, 2024 (2.0247952361463 yrs)
Last Updated
Mar 5, 2025

Practice Information

Address
1401 CENTERVILLE ROAD, SUITE 300
TALLAHASSEE, FL, 32308
Browse FL providers · Browse ZIP 32308
Phone
8508775115
Primary Specialty
Surgical Physician Assistant
363AS0400X
Additional Specialty
Surgical Physician Assistant

Other Surgical Physician Assistant Providers in TALLAHASSEE, FL

Name Credential NPI
JULIA M MITCHELL PA 1992777973
SCOTT L KRUEGER PA-C 1851364442
DAVID WIDLUND BROWN P.A. 1992750038
MARK L MARCEWICZ PA 1831109412
JAYNE H MITTAN P.A - C 1366557696
MRS. HARMONY DAWN CHURCH PA-C 1629293790
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.