Healthcare Provider Details

I. General information

NPI: 1437202850
Provider Name (Legal Business Name): ELIZABETH HUFFMAN RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/19/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2828 S SEACREST BLVD SUITE 216
BOYNTON BEACH FL
33435-7944
US

IV. Provider business mailing address

2828 S SEACREST BLVD SUITE 216
BOYNTON BEACH FL
33435-7944
US

V. Phone/Fax

Practice location:
  • Phone: 561-395-2117
  • Fax: 561-395-4551
Mailing address:
  • Phone: 561-395-2117
  • Fax: 561-395-4551

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN1795532
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: