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Individual

JERRYLEE SAUMELL ROSALES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
3236 N POINCIANA BLVD STE 200, KISSIMMEE, FL 34746-4688
(407) 635-5950
(321) 841-6567
Mailing address
3236 N POINCIANA BLVD STE 200, KISSIMMEE, FL 34746-4688
(407) 635-5950
(321) 841-6567

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
9363061
FL
363LA2200X
Adult Health Nurse Practitioner
Primary
APRN9363061
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
101376300
FL
Enumeration date
10/19/2018
Last updated
04/03/2026
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