Individual
LOSEMICA EILIASSAINT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2500 BERRY BLVD, DAVENPORT, FL 33897-3800
(863) 420-4077
Mailing address
8804 ASHLAND AVE, POLK CITY, FL 33868-6016
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
APRN11041306
FL
Other
Enumeration date
09/10/2025
Last updated
09/10/2025
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