Individual
MRS. DORRAINE MARIE ROONEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
12939 N FLORIDA AVE, TAMPA, FL 33612-4228
(813) 935-0154
Mailing address
12939 N FLORIDA AVE, TAMPA, FL 33612-4228
(813) 935-0154
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA44729
FL
Other
Enumeration date
05/05/2006
Last updated
07/08/2007
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