De Cosmo, Elizabeth P

De Cosmo, Elizabeth P is an individual health care provider with primary practice located at 40107 Hwy 27 , Davenport FL 33837. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Nursing Service Providers / Registered Nurse. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. De Cosmo, Elizabeth P can be contacted via phone (863) 419-0692.

Contact Information

Primary practice address
40107 Hwy 27 Davenport FL 33837
Phone: (863) 419-0692
Fax: (863) 419-1695
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X ARNP1990142 Florida
Nursing Service Providers / Registered Nurse 163W00000X 1990142 Florida

Profile Details

NPI number 1770582090
LBN Legal business name De Cosmo, Elizabeth P
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2005
Last updated Jan 14th, 2015 - about 11 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 1770582090 NPPES
Florida MEDICAID 305492600

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