Provider Demographics
NPI:1699156679
Name:FISHER, ELIZABETH ANNE (DO)
Entity type:Individual
Prefix:DR
First Name:ELIZABETH
Middle Name:ANNE
Last Name:FISHER
Suffix:
Gender:F
Credentials:DO
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Mailing Address - Street 1:7940 VIA DELLAGIO WAY STE 142
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32819-5400
Mailing Address - Country:US
Mailing Address - Phone:407-821-3670
Mailing Address - Fax:407-821-3671
Practice Address - Street 1:7940 VIA DELLAGIO WAY STE 142
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32819-5400
Practice Address - Country:US
Practice Address - Phone:407-821-3670
Practice Address - Fax:407-821-3671
Is Sole Proprietor?:No
Enumeration Date:2015-06-15
Last Update Date:2020-08-24
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IN11018486A207Q00000X
FLOS16953207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine