MEDICARE: ELIZABETH M DAQUILA M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	35.094470	OH
2	207Q00000X	Family Medicine Physician	2026-00436	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1952637530
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELIZABETH M DAQUILA M.D.

Provider Business Mailing Address
First Line	:	55 GLASGOW
Second Line	:
City	:	ROCKY MOUNT
State	:	NC
Zip	:	27804
Country	:	US
Telephone Number	:	201-532-2749
Fax Number	:

Provider Business Practice Location Address
First Line	:	804 ENGLISH RD STE 100
Second Line	:
City	:	ROCKY MOUNT
State	:	NC
Zip	:	27804-6023
Country	:	US
Telephone Number	:	252-433-3133
Fax Number	:	252-443-6726

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/02/2009
Last Update Date	:	04/08/2026

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