Individual
MRS. ROSA A TAVAREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3825 HENDERSON BLVD STE 505, TAMPA, FL 33629-5031
(813) 281-5535
(813) 281-5538
Mailing address
3825 HENDERSON BLVD STE 505, TAMPA, FL 33629-5031
(813) 281-5535
(813) 281-5538
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/06/2007
Last updated
07/08/2007
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