Individual
ELENA DOUGLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
350 7TH ST N, NAPLES, FL 34102-5754
(239) 624-0940
Mailing address
350 7TH ST N, NAPLES, FL 34102-5754
(239) 624-0940
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
T6554
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/01/2019
Last updated
06/10/2022
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