Healthcare Provider Details

I. General information

NPI: 1508693078
Provider Name (Legal Business Name): MRS. ELIZABETH ANN HILE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/18/2024
Last Update Date: 05/20/2026
Certification Date: 05/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

26837 TANIC DR
WESLEY CHAPEL FL
33544-4613
US

IV. Provider business mailing address

26837 TANIC DR
WESLEY CHAPEL FL
33544-4613
US

V. Phone/Fax

Practice location:
  • Phone: 352-995-7760
  • Fax:
Mailing address:
  • Phone: 352-995-7760
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberIMT4464
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: