Individual
ELIZABETH C WONPAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4607 US HIGHWAY 17, ORANGE PARK, FL 32003-7866
(904) 269-4559
(904) 269-4597
Mailing address
4607 US HIGHWAY 17, ORANGE PARK, FL 32003-7866
(904) 269-4559
(904) 269-4597
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME101685
FL
208M00000X
Hospitalist Physician
101685
FL
Other
Enumeration date
06/05/2007
Last updated
07/18/2023
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