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Individual

MRS. STASHA-GAE ALICIA ROBERTS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NURSE PRACTITIONER

Contact information

Practice address
10150 HIGHLAND MANOR DR STE 200, TAMPA, FL 33610-9712
(813) 669-3084
(813) 706-7077
Mailing address
10150 HIGHLAND MANOR DR STE 200, TAMPA, FL 33610-9712
(813) 669-3084
(813) 219-8836

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
APRN9168956
FL
363LP2300X
Primary Care Nurse Practitioner
Primary
APRN9168956
FL

Other

Enumeration date
10/30/2014
Last updated
05/03/2024
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