Provider Demographics
NPI:1447596283
Name:ATILUS, ROSITA (APRN)
Entity Type:Individual
Prefix:MRS
First Name:ROSITA
Middle Name:
Last Name:ATILUS
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:PROF
Other - First Name:ROSITA
Other - Middle Name:
Other - Last Name:ATILUS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DNP,APRN, FNP-BC
Mailing Address - Street 1:311 NE 8TH ST STE 109
Mailing Address - Street 2:
Mailing Address - City:HOMESTEAD
Mailing Address - State:FL
Mailing Address - Zip Code:33030-4734
Mailing Address - Country:US
Mailing Address - Phone:305-363-5573
Mailing Address - Fax:786-622-1893
Practice Address - Street 1:311 NE 8TH ST STE 109
Practice Address - Street 2:
Practice Address - City:HOMESTEAD
Practice Address - State:FL
Practice Address - Zip Code:33030-4734
Practice Address - Country:US
Practice Address - Phone:305-363-5573
Practice Address - Fax:786-622-1893
Is Sole Proprietor?:No
Enumeration Date:2012-12-26
Last Update Date:2022-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9200104363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL008624200Medicaid
FLHL385ZMedicare PIN