Individual
MRS. ELISABETH SOSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
765 IMAGE WAY, ORANGE CITY, FL 32763-8399
(386) 774-7411
(866) 447-0371
Mailing address
PO BOX 102222, ATLANTA, GA 30368-2222
(239) 274-8200
(239) 278-3350
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN9249471
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
109896200
—
FL
Enumeration date
10/11/2012
Last updated
10/28/2022
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