Healthcare Provider Details

I. General information

NPI: 1336043603
Provider Name (Legal Business Name): ELIZABETH MEAS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: LIZ MEAS

II. Dates (important events)

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

III. Provider practice location address

254 SUTTON DR
PONTE VEDRA FL
32081-1154
US

IV. Provider business mailing address

254 SUTTON DR
PONTE VEDRA FL
32081-1154
US

V. Phone/Fax

Practice location:
  • Phone: 760-759-0875
  • Fax:
Mailing address:
  • Phone: 760-759-0875
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: