| Elizabeth Muddiman Cefalu Md Mph Pllc | |
|
2572 Commerce Pkwy North Port FL 34289-9332 | |
| (941) 888-5839 | |
| Not Available |
| Full Name | Elizabeth Muddiman Cefalu Md Mph Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2572 Commerce Pkwy, North Port, Florida |
| Authorized Official Name and Position | Elizabeth M Cefalu (MANAGING MEMBER) |
| Authorized Official Contact | 9418068920 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Elizabeth Muddiman Cefalu Md Mph Pllc 2572 Commerce Pkwy North Port FL 34289-9332 Ph: (941) 888-5839 | Elizabeth Muddiman Cefalu Md Mph Pllc 2572 Commerce Pkwy North Port FL 34289-9332 Ph: (941) 888-5839 |
| NPI Number | 1154707180 |
|---|---|
| Provider Enumeration Date | 07/31/2015 |
| Last Update Date | 11/05/2024 |
| Medicare PECOS PAC ID | 4981910007 |
|---|---|
| Medicare Enrollment ID | O20150903000381 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154707180 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME108366 (Florida) | Primary |
| 208000000X | Pediatrics | ME108366 (Florida) | Secondary |
| Provider Name | Elizabeth M Cefalu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811956683 PECOS PAC ID: 8224166467 Enrollment ID: I20110215000898 |
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