Individual
DR. ELIZABETH ANN LE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
350 N CLYDE MORRIS BLVD, DAYTONA BEACH, FL 32114-2733
(386) 238-3221
(386) 238-3235
Mailing address
350 N CLYDE MORRIS BLVD, DAYTONA BEACH, FL 32114-2733
(386) 676-7130
(862) 383-3235
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
FL99663
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000237300
—
FL
01
—
1225232051
TRICARE
FL
01
—
55028
BCBS
FL
Enumeration date
06/14/2007
Last updated
03/31/2021
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