Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Elanor Peterson

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1396309092

Elanor Peterson is a Physician Assistant in Milton, Florida. Qualified in 2019, 7 years ago. Practices with Santa Rosa Hma Physician Management, LLC, a 52-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Florida.

Years since qualifying
7
Licensed in
FL
In the registry since
2019
Specialties on file
2

Practice location Address checks out

5992 Berryhill Rd Ste 205
Milton, FL 32570-1014
Phone: (850) 626-5324
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA9112375 (FL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1396309092
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedApril 28, 2019
Last updated in NPPESMarch 28, 2023
Certification dateMarch 28, 2023
Mailing address5992 Berryhill Rd Ste 205, Milton, FL 32570-1014

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Santa Rosa Hma Physician Management, Llc — 52 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

Other providers in Milton