Individual
JESSICA B LOSADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
602 VONDERBURG DR STE 103, BRANDON, FL 33511
(727) 456-3288
(727) 456-3289
Mailing address
602 VONDERBURG DR STE 103, BRANDON, FL 33511-5900
(813) 720-8001
(813) 445-8168
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
ARNP9266376
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000659800
—
FL
Enumeration date
02/25/2009
Last updated
08/03/2018
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