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Individual

DR. NOELIS MARIA ROSARIO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DPM

Contact information

Practice address
6021 142ND AVE N, CLEARWATER, FL 33760-2822
(727) 796-6900
(727) 669-8417
Mailing address
1800 CORTEZ RD W, BRADENTON, FL 34207-1335
(941) 758-8818
(941) 755-2901

Taxonomy

Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
PO3762
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
111543100
FL
Enumeration date
04/10/2015
Last updated
05/21/2024
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