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Individual

DR. ELIZABETH ANNE BROOKS DOUGLAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DC

Contact information

Practice address
2123 W. MARTIN LUTHER KING JR. BLVD., TAMPA, FL 33607
(813) 873-1361
Mailing address
4933 14TH AVE S, GULFPORT, FL 33707-3622
(727) 202-7079

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
11157
FL
111N00000X
Chiropractor
1360
MD

Other

Enumeration date
03/28/2016
Last updated
03/28/2016
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