Abrea, Leticia Rosario

Abrea, Leticia Rosario is an individual health care provider with primary practice located at 9860 Beach Blvd Ste A Ufjp Provider Enrollment, Jacksonville FL 32246-4704. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Abrea, Leticia Rosario can be contacted via phone (904) 642-9929.

Contact Information

Primary practice address
9860 Beach Blvd Ste A Ufjp Provider Enrollment Jacksonville FL 32246-4704
Phone: (904) 642-9929
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X ME90096 Florida

Profile Details

NPI number 1710911706
LBN Legal business name Abrea, Leticia Rosario
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 10th, 2006
Last updated Aug 31st, 2012 - about 14 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 1710911706 NPPES
Florida MEDICAID 2738651-00
Florida Other 324712

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