Individual
GILLIAN ROSENBERGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
640 TYRONE BLVD N, ST PETERSBURG, FL 33710-7126
(727) 528-7827
Mailing address
4874 COQUINA KEY DR SE APT B, ST PETERSBURG, FL 33705-6318
(941) 993-4225
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA9112379
FL
363AM0700X
Medical Physician Assistant
Primary
PA9112379
FL
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
05/19/2019
Last updated
08/07/2023
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