Individual
ELIZABETH M MADIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1700 S 23RD ST, FORT PIERCE, FL 34950-4803
(772) 468-4551
Mailing address
1700 S 23RD ST, FORT PIERCE, FL 34950-4803
(724) 322-3294
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
01153
WV
363A00000X
Physician Assistant
Primary
PA9106698
FL
Other
Enumeration date
10/03/2006
Last updated
05/04/2026
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