Provider Demographics
NPI:1891467866
Name:PELLOT-ROSARIO, ALESKA N (MS)
Entity Type:Individual
Prefix:
First Name:ALESKA
Middle Name:N
Last Name:PELLOT-ROSARIO
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13795 SW 36TH AVENUE RD
Mailing Address - Street 2:SUITE 1
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34473-6104
Mailing Address - Country:US
Mailing Address - Phone:352-693-5367
Mailing Address - Fax:833-892-0505
Practice Address - Street 1:13795 SW 36TH AVENUE RD
Practice Address - Street 2:SUITE 1
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34473-6104
Practice Address - Country:US
Practice Address - Phone:352-693-5367
Practice Address - Fax:833-892-0505
Is Sole Proprietor?:No
Enumeration Date:2021-09-29
Last Update Date:2023-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
172V00000X, 374U00000X
FL174H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174H00000XOther Service ProvidersHealth Educator
No172V00000XOther Service ProvidersCommunity Health Worker
No374U00000XNursing Service Related ProvidersHome Health Aide