Doctor Name: | MRS. ELIZABETH A GOTTLIEB |
NPI Number: | 1003245879 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ARNP |
License Number: | ARNP2066372 |
Business Practice Address: | 2401 S Seacrest Blvd Boynton Beach, FL - 334356514 |
Business Phone Number: | 5617338133 |
Business Fax Number: | 5617336670 |
Mailing Address: | 2401 S Seacrest Blvd, BOYNTON BEACH |
State: | FL |
Postal Code: | 334356514 |
Phone Number: | 5617338133 |
Fax Number: | 5617336670 |
NPI Enumeration Date: | 11/02/2013 |
NPI Last Update Date: | 11/02/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2200X |
License Number: | ARNP2066372 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Adult Health |
Taxonomy Definition: |