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

Elisa D. Endicott, PA

Individual provider Physician Assistant · NPI 1558314963

Elisa D. Endicott, PA is a Physician Assistant in Orlando, Florida. Qualified in 1998, 28 years ago. Practices with Mid-Florida Dermatology Associates PA, a 48-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
28
Licensed in
FL
In the registry since
2006
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

801 N Orange Ave Ste 520
Orlando, FL 32801-1026
Phone: (407) 992-0660
Fax: (407) 992-7702
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence PA3672 (FL)
Physician Assistant Taxonomy 363A00000X · Licence PA3672 (FL)

Record details

NPI number1558314963
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedMay 18, 2006
Last updated in NPPESFebruary 17, 2011

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1998 (28 years in practice)
Group practice Mid-Florida Dermatology Associates P.A. — 48 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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