Dalisay, Estelita Boholst

Dalisay, Estelita Boholst is an individual health care provider with primary practice located at 36245 Us Hwy 27 N , Haines City FL 33844-3744. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Dalisay, Estelita Boholst can be contacted via phone (863) 421-9801.

Contact Information

Primary practice address
36245 Us Hwy 27 N Haines City FL 33844-3744
Phone: (863) 421-9801
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APRN9209452 Florida

Profile Details

NPI number 1366846297
LBN Legal business name Dalisay, Estelita Boholst
Credentials APRN-C
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 21st, 2014
Last updated Aug 2nd, 2024 - about 2 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 1366846297 NPPES
Florida MEDICAID 106682700

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