Montgomery, Elizabeth Anne

Montgomery, Elizabeth Anne is an individual health care provider with primary practice located at 1475 Nw 12Th Ave , Miami FL 33136-1002. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as her primary health care specialty. Montgomery, Elizabeth Anne can be contacted via phone (305) 243-1000.

Contact Information

Primary practice address
1475 Nw 12Th Ave Miami FL 33136-1002
Phone: (305) 243-1000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X ME145967 Florida
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X D39599 Maryland

Profile Details

NPI number 1922050699
LBN Legal business name Montgomery, Elizabeth Anne
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2006
Last updated Jun 24th, 2020 - about 4 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 1922050699 NPPES
Maryland MEDICAID 660301701

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