Doctor Name: | MS. LATOSHA MARIA NEGRETE |
NPI Number: | 1033454624 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ARNP |
License Number: | 9266480 |
Business Practice Address: | 703 Virginia St Dunedin, FL - 346986615 |
Business Phone Number: | 7277344000 |
Business Fax Number: | 7277385037 |
Mailing Address: | 703 Virginia St, DUNEDIN |
State: | FL |
Postal Code: | 346986615 |
Phone Number: | 7277344000 |
Fax Number: | 7277385037 |
NPI Enumeration Date: | 12/07/2012 |
NPI Last Update Date: | 11/20/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2200X |
License Number: | 9266480 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Adult Health |
Taxonomy Definition: |