Individual
ELIZABETH DAVIS HOUSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1222 S ORANGE AVE, ORLANDO, FL 32806-1215
(321) 843-4800
(321) 843-2172
Mailing address
1222 S ORANGE AVE, ORLANDO, FL 32806-1215
(321) 843-4800
(321) 843-2172
Taxonomy
Speciality
Code
Description
License number
State
2080S0010X
Pediatric Sports Medicine Physician
Primary
ME109280
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005983700
—
FL
01
—
ME109280
MEDICAL LICENSE
FL
Enumeration date
10/02/2008
Last updated
11/14/2016
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