Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LILIYA HERETSUN-ROUSSONICOLOS
Active Sole ProprietorLILIYA HERETSUN-ROUSSONICOLOS is a Durable Medical Equipment & Medical Supplies healthcare provider located in PORT ST LUCIE, Florida. NPI 1407464506 is currently active in the NPPES registry. Verify at CMS.
Durable Medical Equipment & Medical Supplies · PORT ST LUCIE, FL
Registration Details
- NPI Number
- 1407464506
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 15, 2020 (6.1294871610031 yrs)
- Last Updated
- Oct 9, 2020
- Sole Proprietor
- Yes
Practice Information
- Address
-
1488 SE VILLAGE GREEN DRPORT ST LUCIE, FL, 349523411Browse FL providers · Browse ZIP 34952
- Phone
- 7223011497
- Fax
- 3216768508
- Primary Specialty
-
Durable Medical Equipment & Medical Supplies
332B00000X
Other Durable Medical Equipment & Medical Supplies Providers in PORT ST LUCIE, FL
| Name | Credential | NPI |
|---|---|---|
| SURESH SUKHRAJ | — | 1801252820 |
| SEAN MUSCARELLA | — | 1962140723 |
| UMAWATTIE SUKHRAJ | — | 1669152963 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.