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Individual

ROSA ENID GAUD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
12871 CITRUS PLAZA DR, TAMPA, FL 33625-3010
(813) 471-4455
(813) 343-5022
Mailing address
900 S PINE ISLAND RD, SUITE 800, PLANTATION, FL 33324-3920
(813) 471-4455
(813) 343-5022

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME67814
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
259851500
FL
Enumeration date
12/12/2006
Last updated
09/08/2021
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