Healthcare Provider Details

I. General information

NPI: 1457595233
Provider Name (Legal Business Name): ELIZABETH L WEBER ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/24/2009
Last Update Date: 06/24/2025
Certification Date: 06/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1111 TAMIAMI TRL
PUNTA GORDA FL
33950-5526
US

IV. Provider business mailing address

151 SOUTHHALL LN STE 300
MAITLAND FL
32751-7172
US

V. Phone/Fax

Practice location:
  • Phone: 941-833-4400
  • Fax: 941-833-4401
Mailing address:
  • Phone: 866-400-3376
  • Fax: 407-650-3455

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberARNP9265870
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: