Individual
NARISSA ETWAROO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3840 5TH AVE N, SAINT PETERSBURG, FL 33713-7521
(727) 367-2273
(727) 800-6929
Mailing address
3840 5TH AVE N, SAINT PETERSBURG, FL 33713-7521
(727) 367-2273
(727) 800-6929
Taxonomy
Speciality
Code
Description
License number
State
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
ME132781
FL
2084P0800X
Psychiatry Physician
Primary
ME132781
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
022920700
—
FL
Enumeration date
04/22/2013
Last updated
05/22/2025
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