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Individual

ROSE MARIE MCGOMEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
8710 W HILLSBOROUGH AVE, STE 154, TAMPA, FL 33615-3705
(813) 774-3922
(206) 338-3962
Mailing address
8710 W HILLSBOROUGH AVE, #154, TAMPA, FL 33615-3705
(813) 774-3922
(206) 338-3962

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
693104900
FL
Enumeration date
02/06/2008
Last updated
05/05/2008
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