Provider Demographics
NPI:1467562207
Name:TOMER, MARYELIZABETH BERNICE (AP)
Entity Type:Individual
Prefix:MS
First Name:MARYELIZABETH
Middle Name:BERNICE
Last Name:TOMER
Suffix:
Gender:F
Credentials:AP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:725 N AIA
Mailing Address - Street 2:STE 107A
Mailing Address - City:JUPITER
Mailing Address - State:FL
Mailing Address - Zip Code:33477
Mailing Address - Country:US
Mailing Address - Phone:561-744-3737
Mailing Address - Fax:561-747-7374
Practice Address - Street 1:725 N AIA
Practice Address - Street 2:STE 107A
Practice Address - City:JUPITER
Practice Address - State:FL
Practice Address - Zip Code:33477
Practice Address - Country:US
Practice Address - Phone:561-744-3737
Practice Address - Fax:561-747-7374
Is Sole Proprietor?:No
Enumeration Date:2006-08-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL984171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist