Provider Demographics
NPI:1063775674
Name:LOSEVA, VICTORIA (MD)
Entity type:Individual
Prefix:MS
First Name:VICTORIA
Middle Name:
Last Name:LOSEVA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1500 NW 10TH AVE STE 205
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33486-1345
Mailing Address - Country:US
Mailing Address - Phone:561-391-1085
Mailing Address - Fax:561-391-1449
Practice Address - Street 1:1500 NW 10TH AVE STE 205
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33486-1345
Practice Address - Country:US
Practice Address - Phone:561-391-1085
Practice Address - Fax:561-391-1449
Is Sole Proprietor?:No
Enumeration Date:2012-06-19
Last Update Date:2024-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME125781207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism