Individual
ELIZABETH C. KENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4689 US HIGHWAY 17 STE 2-5, FLEMING ISLAND, FL 32003-4831
(904) 269-6526
(904) 269-6527
Mailing address
PO BOX 102222, ATTN: CREDENTIALING, ATLANTA, GA 30368-2222
(239) 432-8331
(813) 976-7895
Taxonomy
Speciality
Code
Description
License number
State
207RH0000X
Hematology (Internal Medicine) Physician
ME116639
FL
207RX0202X
Medical Oncology Physician
Primary
ME116639
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009197200
—
FL
Enumeration date
01/31/2006
Last updated
08/09/2022
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