Individual
ELIZABETH LARSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9025 POMELO RD W, FORT MYERS, FL 33967-3723
(239) 265-3391
Mailing address
9025 POMELO RD W, FORT MYERS, FL 33967-3723
(239) 265-3391
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
ARNP9227059
FL
Other
Enumeration date
07/14/2015
Last updated
07/14/2015
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