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Individual

MRS. MIRELLA ROSELVY RUBIO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OWNER

Contact information

Practice address
3003 W BEACH ST, TAMPA, FL 33607-2928
(813) 500-3508
(813) 500-3508
Mailing address
3003 W BEACH ST, TAMPA, FL 33607-2928
(813) 500-3508
(813) 500-3508

Taxonomy

Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
6906031
FL
3747A0650X
Attendant Care Provider
Primary
9000015076
FL

Other

Enumeration date
12/29/2006
Last updated
09/11/2025
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