Individual
MRS. ELIZABETH A PANTAGES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2801 SW COLLEGE RD, SUITE #24, OCALA, FL 34474-7406
(352) 873-7555
(352) 873-7556
Mailing address
2801 SW COLLEGE RD, SUITE #24, OCALA, FL 34474-7406
(352) 873-7555
(352) 873-7556
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT2594
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Y7022
MEDICARE PROVIDER NUMBER
FL
Enumeration date
10/29/2007
Last updated
10/29/2007
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