Healthcare Provider Details

I. General information

NPI: 1861719502
Provider Name (Legal Business Name): ELIZABETH MARIE NOBLES AP, L.M.T.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/20/2010
Last Update Date: 06/25/2026
Certification Date: 06/25/2026
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

4140 NW 27TH LN STE D
GAINESVILLE FL
32606-6600
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 Number3062
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number48634
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: