# FAMILY CARE OF LAND O LAKES PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073735833
- **Authorized official:** MR. ROBERT BRUCE ROSEQUIST MD (OWNER)
- **Authorized official phone:** (813) 948-3838

## Contact information

- **Practice address:** 1942 HIGHLAND OAKS BLVD, SUITE A, LUTZ, FL 33559-7410
- **Practice address phone:** (813) 948-3838
- **Practice address fax:** (813) 949-0629
- **Mailing address:** 1942 HIGHLAND OAKS BLVD, SUITE A, LUTZ, FL 33559-7410
- **Mailing address phone:** (813) 948-3838
- **Mailing address fax:** (813) 949-0629

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 0040424 | FL | Yes |
| 207Q00000X | Family Medicine Physician | 0048283 | FL | — |
| 207Q00000X | Family Medicine Physician | ME20601 | FL | — |

## Other

- **Enumeration date:** 05/02/2007
- **Last updated:** 05/04/2011