Individual
ELIZABETH ELLEN HORNBECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
501 6TH AVE S, ST PETERSBURG, FL 33701-4634
(727) 767-7322
Mailing address
501 6TH AVE S, ST PETERSBURG, FL 33701-4634
(727) 767-7322
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
ME140668
FL
208M00000X
Hospitalist Physician
Primary
ME140668
FL
390200000X
Student in an Organized Health Care Education/Training Program
TRN23530
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103049400
—
FL
Enumeration date
06/29/2016
Last updated
10/11/2022
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