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1194770271
ELISA ROSARIO ICAZA
ST. PETERSBURG, FL
NPI
1194770271
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Former Name
ELISA ROSARIO ICAZA
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP2300X Nurse Practitioner, Primary Care
(Licence: FL APRN1701762)
Enumeration Date
2006-05-24
Last Update Date
2019-10-25
Business 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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Mailing Address
ELISA ROSARIO ICAZA ARNP
1700 66TH ST. N. SUITE 510
ST. PETERSBURG, FL 33710-5512
Phone number: 727-384-2479
Copy
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