Individual
ELIZABETH A MORAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
807 CHILDRENS WAY, JACKSONVILLE, FL 32207-8426
(904) 390-3600
(904) 390-3477
Mailing address
PO BOX 191, PROVIDER ENROLLMENT DEPT, ROCKLAND, DE 19732-0191
(302) 651-6212
(302) 651-4945
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
ME95734
FL
207XP3100X
Pediatric Orthopaedic Surgery Physician
Primary
ME95734
FL
208000000X
Pediatrics Physician
ME95734
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104049813A
—
GA
05
—
275690100
—
FL
Enumeration date
08/02/2005
Last updated
10/07/2011
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