Individual
DR. JOHN PAUL GERARD NAZARENO ROSALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2 TAMPA GENERAL CIR FL 6, TAMPA, FL 33606-3603
(813) 259-8668
Mailing address
2 TAMPA GENERAL CIR FL 6, TAMPA, FL 33606-3603
(813) 259-8668
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
ME123374
FL
208M00000X
Hospitalist Physician
D74149
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
021638300
—
FL
01
—
XO9TZ
BLUE CROSS BLUE SHIELD
FL
Enumeration date
08/14/2009
Last updated
01/02/2018
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