Individual
ELIZABETH J-M PHILIPPE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
10300 SW 216TH ST, CUTLER BAY, FL 33190-1003
(305) 253-5100
(305) 254-4987
Mailing address
10300 SW 216TH ST, CUTLER BAY, FL 33190-1003
(305) 253-5100
(305) 254-4987
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME84978
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
265772400
—
FL
01
—
ME84978
LICENSE
FL
Enumeration date
12/07/2006
Last updated
12/09/2019
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