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NPI Code Detail

MEDICARE: DR. ELIZABETH CATHERINE CONNOLLY

MEDICARE: DR. ELIZABETH CATHERINE CONNOLLY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1213ES0103XFoot & Ankle Surgery PodiatristPO4591FL

General Provider Information

NPI Number : 1801474234
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ELIZABETH CATHERINE CONNOLLY
Provider Business Mailing Address
First Line : 2326 S CONGRESS AVE STE 1A
Second Line :
City : WEST PALM BEACH
State : FL
Zip : 33406-7652
Country : US
Telephone Number : 561-433-5577
Fax Number : 561-275-2696
Provider Business Practice Location Address
First Line : 2326 S CONGRESS AVE STE 1A
Second Line :
City : WEST PALM BEACH
State : FL
Zip : 33406-7652
Country : US
Telephone Number : 561-433-5577
Fax Number : 561-275-2696
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/29/2021
Last Update Date : 09/24/2025

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Directions to “ DR. ELIZABETH CATHERINE CONNOLLY ” Practice Location

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