Individual
ELIVETTE ROSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7550 FUTURES DR, ORLANDO, FL 32819-9095
(407) 730-7983
Mailing address
13825 OSPREY LINKS RD APT 245, ORLANDO, FL 32837-6167
(407) 820-6760
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
07/06/2017
Last updated
07/06/2017
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