Individual
MRS. ELIZABETH S DEL ROSSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2402 FRIST BLVD, STE 204, FORT PIERCE, FL 34950-4838
(772) 462-3939
(772) 462-3938
Mailing address
2402 FRIST BLVD, STE 204, FORT PIERCE, FL 34950-4838
(772) 462-3939
(772) 462-3938
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
016283
NY
363A00000X
Physician Assistant
PA05965
TX
363A00000X
Physician Assistant
Primary
PA9108664
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0162751000
—
FL
Enumeration date
01/15/2009
Last updated
05/01/2017
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