Individual
ELIZABETH MIGNANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
4640 HYPOLUXO RD, LAKE WORTH, FL 33463-7534
(561) 296-1715
Mailing address
4640 HYPOLUXO RD, LAKE WORTH, FL 33463-7534
(954) 392-7155
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9108582
FL
Other
Enumeration date
10/02/2015
Last updated
12/07/2015
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