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NPI Code Detail

MEDICARE: MRS. ROSANNA LETICIA CHARLEMAN RN

MEDICARE: MRS. ROSANNA LETICIA CHARLEMAN RN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163W00000XRegistered NurseRN9197124FL

General Provider Information

NPI Number : 1760448047
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. ROSANNA LETICIA CHARLEMAN RN
Provider Business Mailing Address
First Line : 6101 LAKE ELLENOR DR
Second Line : SUITE 102
City : ORLANDO
State : FL
Zip : 32809-4616
Country : US
Telephone Number : 407-858-1424
Fax Number : 407-858-5999
Provider Business Practice Location Address
First Line : 6101 LAKE ELLENOR DR
Second Line : SUITE 102
City : ORLANDO
State : FL
Zip : 32809-4616
Country : US
Telephone Number : 407-858-1424
Fax Number : 407-858-5999
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/25/2006
Last Update Date : 08/19/2008

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