Doctor Name: | ELIZABETH L ROSZEL |
NPI Number: | 1043562663 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ARNP |
License Number: | F382342-1 |
Business Practice Address: | 5121 State Road 674 Wimauma, FL - 335983515 |
Business Phone Number: | 8136338555 |
Business Fax Number: | 8133497861 |
Mailing Address: | 13110 Elk Mountain Dr, RIVERVIEW |
State: | FL |
Postal Code: | 335797182 |
Phone Number: | 8133497568 |
Fax Number: | 8133497561 |
NPI Enumeration Date: | 10/05/2012 |
NPI Last Update Date: | 11/18/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP0200X |
License Number: | F382342-1 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NY |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Pediatrics |
Taxonomy Definition: |