Nicole Agnes Rosa, OD
Optometrist in Lakeland, FL. Individual provider (NPI-1).
NPI number1629831771
StatusActive
Last updated in NPPESFeb 1, 2024
Details
- NPI
- 1629831771
- Entity type
- Individual (NPI-1)
- Name
- Nicole Agnes Rosa
- Credential
- OD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 1, 2024
- Certification date
- Jan 31, 2024
- Last updated
- Feb 1, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | 6414 | FL | Yes |
Practice location
3615 S Florida Ave Ste 460Lakeland, FL 33803-4871
Phone 863-940-2091
Mailing address
4907 Stonecrest DrLakeland, FL 33813-2479
Phone 813-486-3376
Other practice locations
919 Lakeland Park Center Dr Unit 314
Lakeland, FL 33809-3841
Lakeland, FL 33809-3841
Phone 863-859-6500
11391 Causeway Blvd
Brandon, FL 33511-2904
Brandon, FL 33511-2904
Phone 813-413-3202
2014 E State Road 60
Valrico, FL 33594-3605
Valrico, FL 33594-3605
Phone 813-413-3207
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All 65 Optometrist providers in Lakeland · All 6,813 providers in Lakeland
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