Individual
MS. ELISA A ZENNI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
515 WEST 6TH STREET, JACKSONVILLE, FL 32206
(904) 253-1080
(904) 253-1953
Mailing address
PO BOX 44008, JACKSONVILLE, FL 32231-4008
(904) 633-0355
(904) 383-1413
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME68619
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3784134-00
—
FL
05
—
378413400
—
FL
Enumeration date
05/19/2006
Last updated
09/26/2017
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