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Individual

JONATHAN A ROSERO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MA

Contact information

Practice address
4515 W LAMBRIGHT ST, TAMPA, FL 33614-3618
(813) 900-0480
Mailing address
4515 W LAMBRIGHT ST, TAMPA, FL 33614-3618
(813) 900-0480

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA56448
FL

Other

Enumeration date
06/25/2009
Last updated
06/25/2009
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