Individual
ELIZABETH CARMEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1022 FLORIDA AVE S, SUITE 6, ROCKLEDGE, FL 32955-2145
(321) 637-3688
(321) 504-0955
Mailing address
1022 FLORIDA AVE S, SUITE 6, ROCKLEDGE, FL 32955-2145
(321) 637-3688
(321) 504-0955
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA2607
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
811060300
—
FL
05
—
890583500
—
FL
Enumeration date
03/21/2007
Last updated
07/09/2007
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