Individual
KYLE ROSALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
10000 BAY PINES BLVD, BAY PINES, FL 33744-8200
(407) 497-2754
Mailing address
11850 MARTIN LUTHER KING ST N APT 19104, ST PETERSBURG, FL 33716-1639
(407) 497-2754
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/21/2020
Last updated
07/26/2026
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