Individual
ROSALYNN VENTURA MONDRAGON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3505 E HILLSBOROUGH AVE STE 101, TAMPA, FL 33610-4547
(813) 415-0100
(813) 415-0200
Mailing address
PO BOX 4189, DEERFIELD BEACH, FL 33442-4189
(954) 363-9582
(954) 363-9663
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
ACN1165
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
106537400
—
FL
Enumeration date
07/07/2014
Last updated
11/21/2022
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