Healthcare Provider Details

I. General information

NPI: 1932537529
Provider Name (Legal Business Name): ELIZABETH NOELLE CLAYTON DO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/17/2013
Last Update Date: 07/28/2026
Certification Date: 07/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

661 E ALTAMONTE DR STE 318
ALTAMONTE SPRINGS FL
32701-5103
US

IV. Provider business mailing address

661 E ALTAMONTE DR STE 318
ALTAMONTE SPRINGS FL
32701-5103
US

V. Phone/Fax

Practice location:
  • Phone: 407-303-5204
  • Fax:
Mailing address:
  • Phone: 407-303-5204
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number25MB10061800
License Number StateNJ
# 2
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberOS23683
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: