MEDICARE: ELIZABETH ANN STAMPS

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
1	1223G0001X	General Practice Dentistry	DN21767	FL

General Provider Information

NPI Number	:	1891068573
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELIZABETH ANN STAMPS

Provider Business Mailing Address
First Line	:	320 E 19TH ST
Second Line	:
City	:	PANAMA CITY
State	:	FL
Zip	:	32405-4718
Country	:	US
Telephone Number	:	850-769-3427
Fax Number	:

Provider Business Practice Location Address
First Line	:	320 E 19TH ST
Second Line	:
City	:	PANAMA CITY
State	:	FL
Zip	:	32405-4718
Country	:	US
Telephone Number	:	850-769-3427
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/10/2012
Last Update Date	:	06/11/2024

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Directions to “ ELIZABETH ANN STAMPS ” Practice Location

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