Individual
MRS. ELIZABETH OUTLAW MUCHMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C, MMS, MS, RD
Contact information
Practice address
204 SOUTHPARK CIR E, ST AUGUSTINE, FL 32086-5135
(904) 829-8300
Mailing address
400 HEALTH PARK BLVD, FLAGLER HOSPITAL, ST. AUGUSTINE, FL 32086
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
—
—
363A00000X
Physician Assistant
Primary
PA9115135
FL
Other
Enumeration date
06/19/2015
Last updated
07/01/2024
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