Individual
DARRYL ROSEBUD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
801 37TH AVE S, SAINT PETERSBURG, FL 33705-3805
(727) 688-7976
Mailing address
801 37TH AVE S, SAINT PETERSBURG, FL 33705-3805
(727) 688-7976
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
R213166891680
FL
Other
Enumeration date
06/09/2021
Last updated
06/09/2021
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