Individual
BRENDALIS ROMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8488 W HILLSBOROUGH AVE, TAMPA, FL 33615-3808
(813) 889-9800
Mailing address
8488 W HILLSBOROUGH AVE, TAMPA, FL 33615-3808
(813) 889-9800
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
36466
PR
Other
Enumeration date
06/15/2015
Last updated
06/15/2015
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