Provider Demographics
NPI:1639735053
Name:HOBBS, ELIZABETH MARGUERITE (PA)
Entity Type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:MARGUERITE
Last Name:HOBBS
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:ELIZABETH
Other - Middle Name:MARGUERITE
Other - Last Name:HOBBS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:19 OCEAN PALM VILLA N
Mailing Address - Street 2:
Mailing Address - City:FLAGLER BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32136-4112
Mailing Address - Country:US
Mailing Address - Phone:727-641-4281
Mailing Address - Fax:
Practice Address - Street 1:19 OCEAN PALM VILLA N
Practice Address - Street 2:
Practice Address - City:FLAGLER BEACH
Practice Address - State:FL
Practice Address - Zip Code:32136-4112
Practice Address - Country:US
Practice Address - Phone:727-641-4281
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-05-10
Last Update Date:2019-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program