Individual
DR. ELIZABETH T ORR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1454 MADISON AVE W, IMMOKALEE, FL 34142-2200
(239) 658-3198
(239) 658-3091
Mailing address
1454 MADISON AVE W, IMMOKALEE, FL 34142-2200
(239) 658-3198
(239) 658-3091
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
052291
NY
1223G0001X
General Practice Dentistry
Primary
DN19289
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00307662
—
NY
05
—
076988600
—
FL
01
—
331880
FQHC NUMBER
NY
Enumeration date
09/12/2005
Last updated
10/16/2014
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