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Individual

MARGARITA DE LA ROSA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CBHCM

Contact information

Practice address
2706 W SAINT ISABEL ST, TAMPA, FL 33607-6382
(813) 769-9571
(813) 492-8843
Mailing address
2706 W SAINT ISABEL ST, TAMPA, FL 33607-6382
(813) 769-9571
(813) 492-8843

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ME136186
FL
208D00000X
General Practice Physician
Primary
ME136186
FL

Other

Enumeration date
05/03/2019
Last updated
05/26/2022
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