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Dr. Elizabeth T Orr

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NPI Number Detailed Information

Provider Information:

Name: Dr. Elizabeth T Orr
Gender: F
Provider License Number If Given: DN19289

NPI Information:

NPI: 1346234853
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 9/12/2005

Last Update Date: 10/16/2014

Provider Business Mailing Address:

Address: 1454 MADISON AVE W
Immokalee, FL 34142
Phone Number: 2396583198
Fax Number: 2396583091

Provider Business Practice Location Address:

Address: 1454 MADISON AVE W
Immokalee, FL 34142
Phone Number: 2396583198
Fax Number: 2396583091

Provider Taxonomy:

Primary: 1223G0001X
Secondary (if any): 1223G0001X
State: FL

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