Dalisay, Estelita Boholst

Dalisay, Estelita Boholst is an individual health care provider with primary practice located at 400 Avenue K Se Ste 11 , Winter Haven FL 33880-4145. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Dalisay, Estelita Boholst can be contacted via phone (863) 294-4404.

Contact Information

Primary practice address
400 Avenue K Se Ste 11 Winter Haven FL 33880-4145
Phone: (863) 294-4404
Fax: (863) 294-1059
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APRN9209452 Florida
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 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 Mar 21st, 2022 - about 4 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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