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Individual

ELIZABETH P LUZOD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
115 K D REVELL RD, WAUCHULA, FL 33873-2051
(863) 773-4161
(863) 773-5056
Mailing address
115 K D REVELL RD, WAUCHULA, FL 33873-2051
(863) 773-4161
(863) 773-5056

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
ME44763
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
53739
BC/BS PROVIDER NUMBER
FL
Enumeration date
02/27/2006
Last updated
07/08/2007
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