Individual
DR. ELIZABETH MUDDIMAN CEFALU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D., M.P.H.
Contact information
Practice address
2572 COMMERCE PKWY, NORTH PORT, FL 34289-9332
(941) 888-5839
(941) 888-5840
Mailing address
2572 COMMERCE PKWY, NORTH PORT, FL 34289-9332
(941) 888-5839
(941) 888-5840
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME108366
FL
208000000X
Pediatrics Physician
ME108366
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0015644200005
—
PA
05
—
0017552440002
—
PA
05
—
002888900
—
FL
01
—
14AC7
BCBS FLORIDA
FL
01
—
P00913647
RR MEDICARE
FL
Enumeration date
03/21/2006
Last updated
04/27/2025
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