Individual
ROSMERY E TAVAREZ II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1848 BLISSFUL DR, KISSIMMEE, FL 34744-6520
(917) 620-1800
Mailing address
1848 BLISSFUL DR, KISSIMMEE, FL 34744-6520
(917) 620-1800
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
T241-768-30-200-0
FL
Other
Enumeration date
07/08/2026
Last updated
07/08/2026
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