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