Individual
ELIZABETH ALICE TRIANA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3155 HARBOR BLVD STE 100, PORT CHARLOTTE, FL 33952-6729
(941) 625-1990
(941) 625-1991
Mailing address
3155 HARBOR BLVD STE 100, PORT CHARLOTTE, FL 33952-6729
(941) 625-1990
(941) 625-1991
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME46807
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
046316700
—
FL
Enumeration date
07/06/2006
Last updated
10/13/2011
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