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Individual

ELIZABETH MICHELLE DERMINER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNM/WHNP

Contact information

Practice address
1061 MEDICAL CENTER DR STE 102, ORANGE CITY, FL 32763-8225
(386) 456-3852
Mailing address
1061 MEDICAL CENTER DR STE 102, ORANGE CITY, FL 32763-8225
(386) 456-3852

Taxonomy

Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
104907421
FL
367A00000X
Advanced Practice Midwife
Primary
10381
FL

Other

Enumeration date
09/27/2025
Last updated
01/21/2026
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