Individual
DR. FANNY ELIZABETH ROVIRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
4333 W BAY TO BAY BLVD, TAMPA, FL 33629-6606
(813) 837-5147
Mailing address
750 13TH AVE N, ST PETERSBURG, FL 33701-1014
(727) 687-4949
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12953
FL
Other
Enumeration date
07/15/2010
Last updated
11/17/2011
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