Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LP0200X | Nurse Practitioner - Pediatrics | ARNP9359224 | FL |
N | 363LP0200X | Nurse Practitioner - Pediatrics | F382342-1 | NY |
NPI | 1043562663 |
---|---|
Provider Name | Elizabeth L Roszel |
First Address | Riverview, FL 33579-7182 |
Second Address | Wimauma, FL 33598-3515 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/10/2012 |
Last Update Date | 18/11/2014 |