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

Elizabeth Brooke Dylewski

Individual provider Physician Assistant · NPI 1053136945

Elizabeth Brooke Dylewski is a Physician Assistant in Fort Walton Beach, Florida. Qualified in 2024, 2 years ago. Practices with Southeastern Dermatology Group PA, a 44-clinician group and accepts Medicare assignment. Licensed in Florida.

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

3 Racetrack Rd NE
Fort Walton Beach, FL 32547-1875
Phone: (850) 233-3376
Fax: (850) 522-8354
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA9119797 (FL)

Record details

NPI number1053136945
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedNovember 18, 2024
Last updated in NPPESMay 22, 2025
Certification dateMay 22, 2025
Mailing address2505 Harrison Ave, Panama City, FL 32405-4464

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 Southeastern Dermatology Group Pa — 44 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Fort Walton Beach