Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225100000X | Physical Therapist | PT23417 | FL |
Y | 2251N0400X | Physical Therapist - Neurology | PT23417 | FL |
NPI | 1205032372 |
---|---|
Provider Name | Elizabeth Spillers Palubin |
First Address | Tampa, FL 33618-2030 |
Second Address | Tampa, FL 33612-5027 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 25/06/2007 |
Last Update Date | 17/03/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000703900 | (05) | FL |
892627100 | (05) | FL |