Organization
FAMILY CARE OF LAND O LAKES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT BRUCE ROSEQUIST MD (OWNER)
(813) 948-3838
Entity
Organization
Contact information
Practice address
1942 HIGHLAND OAKS BLVD, SUITE A, LUTZ, FL 33559-7410
(813) 948-3838
(813) 949-0629
Mailing address
1942 HIGHLAND OAKS BLVD, SUITE A, LUTZ, FL 33559-7410
(813) 948-3838
(813) 949-0629
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0040424
FL
207Q00000X
Family Medicine Physician
0048283
FL
207Q00000X
Family Medicine Physician
ME20601
FL
Other
Enumeration date
05/02/2007
Last updated
05/04/2011
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