Becerra, Consolacion Liceth

Becerra, Consolacion Liceth is an sole proprietor health care provider with primary practice located at 100 Park Place Blvd Ste 201 , Kissimmee FL 34741-2326. She recently has 4 registered licenses in different health care specialties including Nursing Service Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Gerontology, Physician Assistants & Advanced Practice Nursing Providers / Primary Care. Physician Assistants & Advanced Practice Nursing Providers / Primary Care is her primary health care specialty. Becerra, Consolacion Liceth can be contacted via phone (407) 766-4519.

Contact Information

Primary practice address
100 Park Place Blvd Ste 201 Kissimmee FL 34741-2326
Phone: (407) 766-4519
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health 163WP0808X 9175391 Florida
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 11025765 Florida
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 11025765 Florida
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X 11025765 Florida

Profile Details

NPI number 1619405461
LBN Legal business name Becerra, Consolacion Liceth
Credentials RN-BC
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 24th, 2017
Last updated Mar 27th, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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