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Individual

DERRICK DEL ROSARIO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
P.A.-C

Contact information

Practice address
401 W KENNEDY BLVD, TAMPA, FL 33606-1450
(813) 253-6250
Mailing address
208 ROCK GARDEN PL, TAMPA, FL 33609-2803

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
51770
CA
363A00000X
Physician Assistant
Primary
9108396
FL

Other

Enumeration date
09/17/2014
Last updated
08/16/2022
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