Provider Information for 1376913236
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NATALIE ROSADO
Sex: Female
NPI: 1376913236
Last Updated: 2020-05-11
Certification Date: 2020-05-11
Certification Date: 2020-05-11
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1376913236 | ||||||||
| Enumeration Date | 2015-10-03 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 6922 W LINEBAUGH AVE STE 101 TAMPA, FL 33625-5833 United States Phone: 813-370-0097 | Fax: | ||||||||
| Primary Practice Address | 6922 W LINEBAUGH AVE STE 101 TAMPA, FL 33625-5833 United States Phone: 813-370-0097 | Fax: | ||||||||
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