Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2100X | Nurse Practitioner - Acute Care | 9207047 | FL |
NPI | 1003224346 |
---|---|
Provider Name | Mrs. Elizabeth Ruth Doss |
First Address | Pensacola, FL 32513-2699 |
Second Address | Panama City, FL 32401-3642 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/07/2014 |
Last Update Date | 07/08/2019 |