ELISA ROSARIO ICAZA

ST. PETERSBURG, FL
NPI1194770271
Former NameELISA ROSARIO ICAZA
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP2300X Nurse Practitioner, Primary Care
(Licence: FL  APRN1701762)
Enumeration Date2006-05-24
Last Update Date2019-10-25
Business Address
ELISA ROSARIO ICAZA ARNP
1700 66TH ST. N. SUITE 510
ST. PETERSBURG, FL 33710-5512
Phone number: 727-384-2479
Mailing Address
ELISA ROSARIO ICAZA ARNP
1700 66TH ST. N. SUITE 510
ST. PETERSBURG, FL 33710-5512
Phone number: 727-384-2479
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