Individual
ROSEMARY DIXON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
G11000111514
Contact information
Practice address
2722 E 12TH AVE, TAMPA, FL 33605-4132
(813) 391-8319
Mailing address
2722 E 12TH AVE, TAMPA, FL 33605-4132
(813) 391-8319
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
G11000111514
FL
Other
Enumeration date
06/25/2019
Last updated
06/25/2019
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