Individual
MRS. NICOLE MARIA ROSENTHAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNPC-AG
Contact information
Practice address
3000 MEDICAL PARK DR STE 300, TAMPA, FL 33613
Mailing address
3000 MEDICAL PARK DR STE 300, TAMPA, FL 33613-4696
(813) 615-8088
(813) 615-8468
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
APRN9174987
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14195803
CAQH
—
Enumeration date
01/22/2018
Last updated
08/31/2023
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