Provider Demographics
NPI:1538223847
Name:NELSON, ELIZABETH D (MD)
Entity type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:D
Last Name:NELSON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:100 W GORE ST
Mailing Address - Street 2:STE 400
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32806-1044
Mailing Address - Country:US
Mailing Address - Phone:407-422-2641
Mailing Address - Fax:407-425-7641
Practice Address - Street 1:100 W GORE ST
Practice Address - Street 2:STE 400
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32806-1044
Practice Address - Country:US
Practice Address - Phone:407-422-2641
Practice Address - Fax:407-425-7641
Is Sole Proprietor?:No
Enumeration Date:2006-12-21
Last Update Date:2011-05-18
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLME32909207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology