Individual
MS. SARA ROSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OPTICIAN
Contact information
Practice address
912 CHANNELSIDE DR, SUITE 2102, TAMPA, FL 33602-4229
(813) 906-6737
Mailing address
109 N 12TH ST, SUITE 1105, TAMPA, FL 33602-3686
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
DO 6627
FL
Other
Enumeration date
08/17/2016
Last updated
08/17/2016
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