Del Rossa, Elizabeth S

Del Rossa, Elizabeth S is an individual health care provider with primary practice located at 2402 Frist Blvd Ste 204, Fort Pierce FL 34950-4838. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Del Rossa, Elizabeth S can be contacted via phone (772) 462-3939.

Contact Information

Primary practice address
2402 Frist Blvd Ste 204 Fort Pierce FL 34950-4838
Phone: (772) 462-3939
Fax: (772) 462-3938
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA05965 Texas
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 016283 New York
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA9108664 Florida

Profile Details

NPI number 1215174057
LBN Legal business name Del Rossa, Elizabeth S
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 15th, 2009
Last updated May 1st, 2017 - about 7 years ago

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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Identifiers

StateTypeNumberIssuer
All States NPI 1215174057 NPPES
Florida MEDICAID 0162751000

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