Individual
ELIZABETH LOONEY DI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
304 ASHOURIAN AVE STE 105, SAINT AUGUSTINE, FL 32092-5110
(904) 819-1006
(904) 819-1008
Mailing address
400 HEALTH PARK BLVD, SAINT AUGUSTINE, FL 32086-5784
(904) 819-1006
(904) 819-1008
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
35.135188
OH
207Q00000X
Family Medicine Physician
Primary
ME154989
FL
Other
Enumeration date
03/28/2016
Last updated
05/10/2025
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