Individual
ELENA LICATA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8713 S BAY DR, ORLANDO, FL 32819-4956
(407) 579-1621
Mailing address
8713 S BAY DR, ORLANDO, FL 32819-4956
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN1498232
FL
Other
Enumeration date
06/25/2008
Last updated
06/25/2008
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