Healthcare Provider Details

I. General information

NPI: 1285546663
Provider Name (Legal Business Name): ELIZABETH MARIE NOBLES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/21/2026
Last Update Date: 09/21/2026
Certification Date: 09/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4140 NW 27TH LN STE D
GAINESVILLE FL
32606-6600
US

IV. Provider business mailing address

15145 SW 15TH AVE
NEWBERRY FL
32669-3110
US

V. Phone/Fax

Practice location:
  • Phone: 407-232-3317
  • Fax:
Mailing address:
  • Phone: 407-232-3317
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number
License Number State

VIII. Authorized Official

Name: ELIZABETH MARIE NOBLES
Title or Position: ACUPUNCTURIST
Credential: AP, LMT
Phone: 407-232-3317