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Organization

ROSANA MARZULLO-DOVE, PSYD, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ROSANA MARZULLO-DOVE PSYD (SOLE OWNER)
(813) 613-8587
Entity
Organization

Contact information

Practice address
912 W PLATT ST STE 101, TAMPA, FL 33606-2108
(813) 613-8587
Mailing address
912 W PLATT ST STE 101, TAMPA, FL 33606-2108
(813) 613-8587

Taxonomy

Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
261QM0850X
Adult Mental Health Clinic/Center
261QM0855X
Adolescent and Children Mental Health Clinic/Center

Other

Enumeration date
06/06/2019
Last updated
06/11/2019
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