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

Elijah Shalaar Dorneval

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1124859590

Elijah Shalaar Dorneval is a Physician Assistant in Tallahassee, Florida. Qualified in 2024, 2 years ago. Practices with Tallahassee Neurological Clinic, a 36-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
2
Licensed in
FL
In the registry since
2024
Specialties on file
2
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Practice location Address checks out

1401 Centerville Rd Ste 300
Tallahassee, FL 32308
Phone: (850) 877-5115
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • Florida State University College Of Medicine, Tallahassee, FL 32306 — (786) 623-1784

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X (FL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1124859590
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 8, 2024
Last updated in NPPESMarch 5, 2025
Certification dateMarch 5, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Tallahassee Neurological Clinic — 36 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Tallahassee