Individual
ELIZABETH ELLLEN MOHANTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3345 BURNS RD STE 105, 3345 BURNS RD, SUITE 105, PALM BEACH GARDENS, FL 33410-4304
(561) 626-1881
Mailing address
11814 LAKE SHORE PL, 11814 NORTH LAKE SHORE PLACE, NORTH PALM BEACH, FL 33408-3206
(561) 635-1769
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9102986
FL
Other
Enumeration date
03/22/2007
Last updated
07/08/2007
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