ELIZABETH DAVIDE PA-C
NPI 1053148445
Physician Assistant - Medical in Largo, FL

Q: What is Elizabeth Davide's NPI number?

The NPI number for Elizabeth Davide is 1053148445. It was assigned to this individual provider in the NPPES registry on September 18, 2024.

Q: What is Elizabeth Davide's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Elizabeth Davide was last updated on October 6, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since September 18, 2024PECOS EnrolledAccepts Medicare Assignment

12416 66TH ST STE A, LARGO, FL 33773(727) 547-4700(727) 394-8661 Get Directions Write a Review

NPPES record last updated: October 6, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 6, 2025, Sep 18, 2024 (2 updates tracked since 2024).

On this page

About Elizabeth Davide Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ELIZABETH DAVIDE PA-C (NPI 1053148445) is an individual medical provider in Largo, Florida, licensed in Florida (PA9119487) and active in the NPI registry since September 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1053148445

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameELIZABETH DAVIDECredential: PA-C

Location Address12416 66TH ST STE ALargo, FL 33773-3430

Mailing Address12416 66th St Ste ALargo, FL 33773-3430 · (727) 547-4700 · Fax (727) 394-8661

Phone(727) 547-4700

Fax(727) 394-8661

Sole ProprietorNo

Medical School CMSOtherGraduated 2024

Enumeration DateSeptember 18, 2024

Last NPPES UpdateOctober 6, 20252 updates tracked since enumeration

NPPES CertifiedOctober 6, 2025

✔ NPI 1053148445 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in FL · PA9119487

12416 66TH ST STE A, Largo, FL 33773

Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Elizabeth Davide Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2466972765

PECOS Enrollment IDI20250217002549

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. JEREMY ALLEN SMITH PT

Physical Therapist