Individual
DR. ROSAN MARIE SEQUEDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
712 53RD AVE E, BRADENTON, FL 34203-5827
(941) 755-2456
(877) 788-3881
Mailing address
1302 RIVER ST, PALATKA, FL 32177-5042
(386) 326-7342
(386) 325-1086
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
17923
PR
208D00000X
General Practice Physician
Primary
ACN910
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DS199A
PTAN
PR
Enumeration date
05/26/2010
Last updated
05/19/2021
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