Provider Demographics
NPI:1013099761
Name:GUNTHER, ELIZABETH ANN (DO)
Entity Type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:ANN
Last Name:GUNTHER
Suffix:
Gender:F
Credentials:DO
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Mailing Address - Street 1:3618 LANTANA RD STE 100
Mailing Address - Street 2:
Mailing Address - City:LAKE WORTH
Mailing Address - State:FL
Mailing Address - Zip Code:33462-2247
Mailing Address - Country:US
Mailing Address - Phone:561-318-6158
Mailing Address - Fax:561-328-6918
Practice Address - Street 1:3618 LANTANA RD STE 100
Practice Address - Street 2:
Practice Address - City:LAKE WORTH
Practice Address - State:FL
Practice Address - Zip Code:33462-2247
Practice Address - Country:US
Practice Address - Phone:561-318-6158
Practice Address - Fax:561-328-6918
Is Sole Proprietor?:No
Enumeration Date:2006-10-20
Last Update Date:2020-03-02
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLOS8306207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL0107670OtherUHC
FL06259OtherBCBS
FL133285/133080(F/V)OtherAETNA
FL3001317OtherCIGNA
FL0107670OtherUHC
FL3001317OtherCIGNA