Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Elizabeth C Wonpat, MD

Individual provider Family Medicine Physician · NPI 1952503369

Elizabeth C Wonpat, MD is a Family Practice in Orange Park, Florida. Qualified in 2005, 21 years ago. Practices with Grand Traverse Physician Services PC, a 123-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
21
Licensed in
FL
In the registry since
2007
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

4607 US Highway 17
Orange Park, FL 32003-7866
Phone: (904) 269-4559
Fax: (904) 269-4597
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence ME101685 (FL)
Hospitalist Physician Taxonomy 208M00000X · Licence 101685 (FL)

Record details

NPI number1952503369
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 5, 2007
Last updated in NPPESJuly 18, 2023
Certification dateJuly 18, 2023
Mailing address4607 Us Highway 17, Orange Park, FL 32003-7866

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Grand Traverse Physician Services Pc — 123 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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