Individual
BRIANA ROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5173 SYLVESTER LOOP, TAMPA, FL 33610-5632
(321) 795-1028
Mailing address
5173 SYLVESTER LOOP, TAMPA, FL 33610-5632
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
FL
Other
Enumeration date
04/19/2021
Last updated
04/19/2021
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