Individual
EDUARDO MANUEL LA ROSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ARNP
Contact information
Practice address
1565 STATE ST, SARASOTA, FL 34236-5808
(941) 927-8900
Mailing address
2572 TAMISOLA ST, SARASOTA, FL 34237-8132
(941) 504-5585
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
9302277
FL
Other
Enumeration date
08/02/2017
Last updated
08/02/2017
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