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:
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15050 SW 29TH TERRACE RD
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34473-2904
Mailing Address - Country:US
Mailing Address - Phone:352-480-6569
Mailing Address - Fax:
Practice Address - Street 1:15050 SW 29TH TERRACE RD STE 1
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34473-2904
Practice Address - Country:US
Practice Address - Phone:352-693-5367
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-09-29
Last Update Date:2025-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
172V00000X, 171400000X
FL174H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach
No172V00000XOther Service ProvidersCommunity Health Worker
No174H00000XOther Service ProvidersHealth Educator