Search › Florida › 106S00000X
Elisa Petrullo
NPI 1457023236 · on the registry since 2021 · sole proprietor
Practice
- Address
- 1475 Collingswood Blvd Ste G
Port Charlotte, FL 33948 - Phone
- (941) 999-4917
- Clinicians at this address
- 18
Registry record
- Primary taxonomy
- 106S00000X
106S00000X
- Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-09-30
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida