Formy-Duval, Elizabeth A

Formy-Duval, Elizabeth A is an individual health care provider with primary practice located at 5831 Bee Ridge Rd Ste 300 , Sarasota FL 34233-5090. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist is her primary health care specialty. Formy-Duval, Elizabeth A can be contacted via phone (941) 378-5100.

Contact Information

Primary practice address
5831 Bee Ridge Rd Ste 300 Sarasota FL 34233-5090
Phone: (941) 378-5100
Fax: (941) 960-1962
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X OT6623 Florida
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand 225XH1200X OT6623 Florida

Profile Details

NPI number 1578687117
LBN Legal business name Formy-Duval, Elizabeth A
Credentials Occupational Therapist (OT)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 19th, 2007
Last updated Dec 10th, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578687117 NPPES
Florida Other OT6623 STATE LICENSE

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