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NPI Code Detail

MEDICARE: ROSEMARY A CLANTON ARNP

MEDICARE: ROSEMARY A CLANTON ARNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363L00000XNurse PractitionerARNP1363142FL

General Provider Information

NPI Number : 1225165806
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROSEMARY A CLANTON ARNP
Provider Business Mailing Address
First Line : 13110 ELK MOUNTAIN DR
Second Line :
City : RIVERVIEW
State : FL
Zip : 33579-7182
Country : US
Telephone Number : 813-349-7568
Fax Number : 813-349-7561
Provider Business Practice Location Address
First Line : 508 N MARYLAND AVE
Second Line :
City : PLANT CITY
State : FL
Zip : 33563-3820
Country : US
Telephone Number : 813-349-7600
Fax Number : 813-349-7661
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/28/2007
Last Update Date : 06/12/2012

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Directions to “ ROSEMARY A CLANTON ARNP” Practice Location

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