Individual
DR. ELIZABETH AGNES JOHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6340 FORT KING RD, ZEPHYRHILLS, FL 33542
(813) 782-6116
(813) 780-1015
Mailing address
PO BOX 1617, ZEPHYRHILLS, FL 33539
(813) 782-6116
(813) 780-1051
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME80083
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
258781500
—
FL
01
—
49952
BCBS
—
Enumeration date
09/14/2006
Last updated
12/09/2020
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