Individual
ELIZABETH GNAGY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
122 E MAIN ST # 131, LAKELAND, FL 33801-4655
(863) 225-7097
Mailing address
122 E MAIN ST # 131, LAKELAND, FL 33801-4655
(863) 225-7097
Taxonomy
Speciality
Code
Description
License number
State
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
OS13100
FL
2084P0800X
Psychiatry Physician
Primary
OS13100
FL
Other
Enumeration date
10/19/2015
Last updated
03/09/2022
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