Dr. Elizabeth A. Douglas D.C.
Chiropractor in Gulfport, FL. Organization (NPI-2).
NPI number1063805083
StatusActive
Last updated in NPPESMar 16, 2015
Details
- NPI
- 1063805083
- Entity type
- Organization (NPI-2)
- Legal business name
- Dr. Elizabeth A. Douglas D.C.
- Organization subpart
- No
- Enumeration date
- Mar 16, 2015
- Last updated
- Mar 16, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 111N00000X | Chiropractor | CH11157 | FL | Yes |
Practice location
4933 14th Ave SGulfport, FL 33707-3622
Phone 727-286-1511
Mailing address
4933 14th Ave. S.Gulfport, FL 33707-5431
Phone 727-286-1511
Authorized official
Elizabeth A. Douglas
Chiropractor
7272861511
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