Individual
ELIZABETH NOCHIMSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
777 DELTONA BLVD STE 9, DELTONA, FL 32725-7174
(386) 574-4407
Mailing address
3005 FALLING ACORN CIR, LAKE MARY, FL 32746-4743
(954) 560-3792
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN19458
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004300000
—
FL
Enumeration date
09/05/2011
Last updated
04/24/2013
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