Female

Elizabeth A. Ide

Physician Assistant in Celebration, FL(View on Map)

Full Name

Elizabeth Anne Ide

NPI Number

1427796747

NPI Type

Individual Provider

Gender

Female

Enumeration Date

05/25/2022

Specialties

(Taxonomies)

Code

363A00000X
363AM0700X
363AS0400X

Primary Taxonomy

Yes
No
No

Licenses

State

Florida
Florida

License Number

PA9116243
PA9116249

Contact
Information

Purpose

Mailing
Location

Address

410 CELEBRATION PL STE 208
410 CELEBRATION PL STE 208

City

Celebration
Celebration

State

FL
FL

Postal Code

34747-5434
34747-5434

Country

US
US

Telephone Number

(877) 800-0239
(877) 800-0239

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 06/20/2024

Provider Address

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