Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223P0300X | Periodontist | DN0013305 | FL |
NPI | 1073729141 |
---|---|
Provider Name | Dr. Elizabeth A Linder |
First Address | Palm Harbor, FL 34684 |
Second Address | Palm Harbor, FL 34684 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/05/2007 |
Last Update Date | 08/07/2007 |