Individual
ELIZABETH MARY HOWARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO4553
Contact information
Practice address
1633 TAYLOR RD UNIT 104, PORT ORANGE, FL 32128-6754
(386) 256-3510
(386) 265-1969
Mailing address
1633 TAYLOR RD UNIT 104, PORT ORANGE, FL 32128-6754
(386) 256-3510
(386) 265-1969
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
DO4553
FL
Other
Enumeration date
10/13/2020
Last updated
10/13/2020
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