Individual
ELIZABETH KOLICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
531 WEKIVA COMMONS CIR, APOPKA, FL 32712-3645
(800) 827-7546
Mailing address
1139 DEGRAW DR, APOPKA, FL 32712-6406
(561) 891-1950
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
PA9117293
FL
363A00000X
Physician Assistant
Primary
PA9117293
FL
Other
Enumeration date
04/12/2023
Last updated
04/23/2025
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