Healthcare Provider Details

I. General information

NPI: 1881228682
Provider Name (Legal Business Name): EVERY ROSE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/02/2020
Last Update Date: 02/17/2021
Certification Date: 02/17/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25344 WESLEY CHAPEL BLVD STE 101
LUTZ FL
33559-7202
US

IV. Provider business mailing address

6708 N BRANCH AVE APT B
TAMPA FL
33604-5589
US

V. Phone/Fax

Practice location:
  • Phone: 813-922-1532
  • Fax: 833-371-1901
Mailing address:
  • Phone: 323-947-6203
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: DR. ELIZABETH ROSE PARE
Title or Position: APRN
Credential: DNP, PMHNP-BC
Phone: 323-947-6203