Individual
MS. ELIZABETH DUARTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
350 7TH ST N, NAPLES, FL 34102-5754
(239) 624-3997
(239) 624-8101
Mailing address
350 7TH ST N, NAPLES, FL 34102-5754
(239) 624-4299
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
4044
TN
363A00000X
Physician Assistant
Primary
PA9108239
FL
363AM0700X
Medical Physician Assistant
PA9108239
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9YGCA
BCBS
FL
01
—
IC065Y
MEDICARE
FL
05
—
PENDING
—
FL
Enumeration date
09/29/2014
Last updated
10/19/2023
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