Individual
MRS. RAQUEL MARIA BARROSONEGRONI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
602 VONDERBURG DR, SUITE 201, BRANDON, FL 33511-5900
(813) 653-1149
(813) 654-6644
Mailing address
602 VONDERBURG DR, SUITE 201, BRANDON, FL 33511-5900
(813) 653-1149
(813) 654-6644
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
B625733847510
FL
222Q00000X
Developmental Therapist
Primary
SI2694
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
016504900
—
FL
Enumeration date
03/06/2009
Last updated
01/28/2016
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