Individual
NATASHA ELIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4203 BELFORT RD, SUITE 204, JACKSONVILLE, FL 32216-1463
(904) 296-5688
(904) 296-5699
Mailing address
4203 BELFORT RD, SUITE 204, JACKSONVILLE, FL 32216-1463
(904) 296-5688
(904) 296-5699
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME90460
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
270331900
—
FL
Enumeration date
07/26/2006
Last updated
05/21/2014
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