Individual
ELIZABETH PERDOMO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
20889 ENCANTO CT, BOCA RATON, FL 33433-1702
(561) 479-2305
Mailing address
20889 ENCANTO CT, BOCA RATON, FL 33433-1702
(561) 479-2305
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
ARNP 3392762
FL
Other
Enumeration date
07/29/2015
Last updated
07/29/2015
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