Healthcare Provider Details

I. General information

NPI: 1831925296
Provider Name (Legal Business Name): ROSALY PEREZ PLASENCIA DNAP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: ROSALY PEREZ PLASENCIA DNAP

II. Dates (important events)

Enumeration Date: 09/11/2024
Last Update Date: 08/12/2026
Certification Date: 08/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2811 36TH AVE SE
NAPLES FL
34117-8940
US

IV. Provider business mailing address

2811 36TH AVE SE
NAPLES FL
34117-8940
US

V. Phone/Fax

Practice location:
  • Phone: 786-454-6335
  • Fax:
Mailing address:
  • Phone: 786-454-6335
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number156375
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number11048820
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: