Individual
ELIZABETH I ROSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3216 E POWHATAN AVE, TAMPA, FL 33610-3635
(813) 516-4761
Mailing address
PO BOX 101, PINELLAS PARK, FL 33780-0101
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
05/20/2021
Last updated
06/01/2021
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