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Individual

MRS. ELIZABETH BACH

Active
Sole proprietor

Provider details

NPI number
Gender
F

Contact information

Practice address
601 MAIN ST, SUITE 205, DUNEDIN, FL 34698-5848
(727) 734-6516
(727) 734-4516
Mailing address
PO BOX 1074, C O ANESTHESIA ASSOC OF DUNEDIN, DUNEDIN, FL 34697-1074
(727) 734-6516
(727) 734-4516

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
ARNP2146392
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
G2399
BCBS OF FL
FL
Enumeration date
02/13/2006
Last updated
07/08/2007
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