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Individual

DR. ELIZABETH ANNE EADS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.O.

Contact information

Practice address
39 CHEROKEE TRL, ORMOND BEACH, FL 32174-8523
(386) 676-0255
(386) 676-2555
Mailing address
5 CARRINGTON LN, ORMOND BEACH, FL 32174-3897
(386) 615-0959

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS0007549
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
255008300
FL
01
56760
BLUE CROSS & BLUE SHIELD
FL
Enumeration date
07/10/2006
Last updated
11/04/2013
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