Individual
MRS. MARISSA BROOKE TUFARIELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2863 ALT. 19 N., PALM HARBOR, FL 34683-1926
(727) 781-5652
Mailing address
7601 DR. MLK JR. ST. N., SUITE C-2, ST. PETERSBURG, FL 33702
(727) 527-2888
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
009672
NY
363AS0400X
Surgical Physician Assistant
Primary
PA9105412
FL
Other
Enumeration date
04/13/2007
Last updated
10/15/2012
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