Individual
BRIAN ROSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
5798 38TH AVE N, ST PETERSBURG, FL 33710-1926
(727) 384-0152
(727) 384-1500
Mailing address
14690 SPRING HILL DR, STE 305, SPRING HILL, FL 34609-8102
(352) 277-5348
(352) 606-2857
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA9108708
FL
Other
Enumeration date
06/04/2015
Last updated
11/25/2020
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