Healthcare Provider Details

I. General information

NPI: 1740542877
Provider Name (Legal Business Name): LIZABETH NONELL SAINT-HILAIRE M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: LIZABETH ROSALIA NONELL M.D.

II. Dates (important events)

Enumeration Date: 06/14/2012
Last Update Date: 10/11/2026
Certification Date: 10/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8795 IVANHOE DR UNIT 109
MELBOURNE FL
32940-2235
US

IV. Provider business mailing address

8795 IVANHOE DR UNIT 109
MELBOURNE FL
32940-2235
US

V. Phone/Fax

Practice location:
  • Phone: 321-382-2035
  • Fax: 321-386-0226
Mailing address:
  • Phone: 321-382-2035
  • Fax: 321-386-0226

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberME123119
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: