Provider Demographics
NPI:1285444265
Name:FRIIA, ELIZABETH JOAN (LHAS)
Entity type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:JOAN
Last Name:FRIIA
Suffix:
Gender:F
Credentials:LHAS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5889 S WILLIAMSON BLVD STE 1409
Mailing Address - Street 2:
Mailing Address - City:PORT ORANGE
Mailing Address - State:FL
Mailing Address - Zip Code:32128-7498
Mailing Address - Country:US
Mailing Address - Phone:386-322-0831
Mailing Address - Fax:386-322-0833
Practice Address - Street 1:5889 S WILLIAMSON BLVD STE 1409
Practice Address - Street 2:
Practice Address - City:PORT ORANGE
Practice Address - State:FL
Practice Address - Zip Code:32128-7498
Practice Address - Country:US
Practice Address - Phone:386-322-0831
Practice Address - Fax:386-322-0833
Is Sole Proprietor?:No
Enumeration Date:2025-01-10
Last Update Date:2025-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAS5753237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist