Individual
ELIZABETH ANNE MEREDITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1286 FLORIDA AVE S, ROCKLEDGE, FL 32955-2484
(321) 301-4747
(321) 633-3043
Mailing address
1286 FLORIDA AVE S, ROCKLEDGE, FL 32955-2484
(813) 780-1255
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9103762
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00928062
RR MEDICARE
FL
Enumeration date
02/19/2008
Last updated
07/21/2022
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