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Individual

JUDITH A ROSENBERG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
12901 BRUCE B DOWNS BLVD, MDC 62, TAMPA, FL 33612-4742
(813) 250-6672
Mailing address
PO BOX 917770, ORLANDO, FL 32891-7770

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
ARNP942192
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
307733100
FL
01
Y00ZG
BLUE CROSS BLUE SHIELD
FL
Enumeration date
07/19/2006
Last updated
10/30/2009
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