Individual
ELIZABETH NATHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1301 2ND AVE SW, LARGO, FL 33770-2298
(727) 584-7706
(727) 585-8542
Mailing address
1301 2ND AVE SW, LARGO, FL 33770-2298
(727) 584-7706
(727) 585-8542
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
OS18021
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R1N9H
FLORIDA BLUE
FL
Enumeration date
06/27/2018
Last updated
09/28/2021
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