Individual
JESSIKA L ROSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
711 S DALE MABRY HWY STE 201, TAMPA, FL 33609-4400
(813) 548-7860
(813) 605-6156
Mailing address
711 S DALE MABRY HWY STE 201, TAMPA, FL 33609-4400
(813) 548-7860
(813) 605-6156
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
016571600
—
FL
Enumeration date
12/16/2015
Last updated
04/13/2023
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