# NELSA CHACON LOSADA

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1780717017
- **Gender:** F
- **Credential:** OD PA

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | 2539 | FL | Yes |

## Other

- **Enumeration date:** 03/14/2007
- **Last updated:** 09/09/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 078822800 | — | FL |
| 01 | — | 20308 | BC/BS | FL |
| 05 | — | U25040 | — | FL |