Individual
ELIZABETH WHITAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12040 NW 15TH CT, PEMBROKE PINES, FL 33026-2598
(786) 543-4903
Mailing address
12040 NW 15TH CT, PEMBROKE PINES, FL 33026-2598
(786) 543-4903
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
126871
FL
Other
Enumeration date
06/25/2019
Last updated
06/25/2019
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