Provider Demographics
NPI:1871190447
Name:ALMICAR, YVROSE Y I
Entity Type:Individual
Prefix:
First Name:YVROSE
Middle Name:Y
Last Name:ALMICAR
Suffix:I
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:112 CRENSHAW LAKE RD
Mailing Address - Street 2:
Mailing Address - City:LUTZ
Mailing Address - State:FL
Mailing Address - Zip Code:33548-6101
Mailing Address - Country:US
Mailing Address - Phone:813-900-5415
Mailing Address - Fax:
Practice Address - Street 1:112 CRENSHAW LAKE RD
Practice Address - Street 2:
Practice Address - City:LUTZ
Practice Address - State:FL
Practice Address - Zip Code:33548-6101
Practice Address - Country:US
Practice Address - Phone:813-900-5415
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-06
Last Update Date:2020-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL321309376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes376K00000XNursing Service Related ProvidersNurse's AideGroup - Multi-Specialty