Individual
RIZALINA BRUSAS TAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1201 5TH AVE N STE 305, ST PETERSBURG, FL 33705-1425
(727) 327-3737
(727) 825-1377
Mailing address
1201 5TH AVE N STE 305, ST PETERSBURG, FL 33705-1425
(727) 327-3737
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
ME0051356
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ME 0051356
MEDICAL LICENSE
FL
Enumeration date
09/15/2006
Last updated
07/08/2007
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