Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RC0200X | Critical Care Medicine | ME119352 | FL |
N | 207RP1001X | Pulmonary Disease | ME119352 | FL |
NPI | 1013141514 |
---|---|
Provider Name | Dr. Elizabeth J Carpenter |
First Address | Tampa, FL 33614-7107 |
Second Address | Brandon, FL 33511-5719 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 12/05/2009 |
Last Update Date | 29/07/2019 |