Provider Demographics
NPI:1538759618
Name:ESTIMA, ROSANIE (ARNP)
Entity type:Individual
Prefix:
First Name:ROSANIE
Middle Name:
Last Name:ESTIMA
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:ROSANIE
Other - Middle Name:
Other - Last Name:LOUIS-PIERRE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1517 BANKS ST
Mailing Address - Street 2:
Mailing Address - City:LONGWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:32750-6202
Mailing Address - Country:US
Mailing Address - Phone:954-826-7146
Mailing Address - Fax:
Practice Address - Street 1:402 SIMPSON RD
Practice Address - Street 2:
Practice Address - City:KISSIMMEE
Practice Address - State:FL
Practice Address - Zip Code:34744-4448
Practice Address - Country:US
Practice Address - Phone:407-742-4444
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-01-22
Last Update Date:2021-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11010342363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health