Individual
ELIZABETH JUNGST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1921 WALDEMERE ST, SUITE 405, SARASOTA, FL 34239-2943
(941) 917-3500
(941) 917-3501
Mailing address
PO BOX 863407, ORLANDO, FL 32886-3407
(941) 917-2600
(941) 917-7884
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
57010095
OH
207R00000X
Internal Medicine Physician
Primary
ME102753
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
76218
BCBS
FL
Enumeration date
05/24/2007
Last updated
10/16/2012
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