Individual
MRS. ELIZABETH P DE COSMO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
40107 HWY 27, DAVENPORT, FL 33837
(863) 419-0692
(863) 419-1695
Mailing address
339 CYPRESS PKWY STE 180, KISSIMMEE, FL 34759-3329
(407) 933-1877
(407) 933-1817
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1990142
FL
363LA2200X
Adult Health Nurse Practitioner
Primary
ARNP1990142
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
305492600
—
FL
Enumeration date
07/19/2005
Last updated
01/14/2015
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