Individual
MR. PAUL ROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.M.T.
Contact information
Practice address
3601 W SWANN AVE, 105, TAMPA, FL 33609-4547
(813) 787-4133
(727) 341-1980
Mailing address
6924 STONESTHROW CIR N, 8109, SAINT PETERSBURG, FL 33710-8736
(813) 787-4133
(727) 234-1980
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA0014113
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
681650800
—
FL
05
—
688568396
—
FL
Enumeration date
05/04/2007
Last updated
07/09/2007
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