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NPI Code Detail

MEDICARE: KATIA CABALLERO ROSALES RN

MEDICARE:   KATIA  CABALLERO ROSALES  RN
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
1163W00000XRegistered NurseRN9663888FL

General Provider Information

NPI Number : 1306641873
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATIA CABALLERO ROSALES RN
Provider Business Mailing Address
First Line : 1403 W LINEBAUGH AVE
Second Line :
City : TAMPA
State : FL
Zip : 33612-7641
Country : US
Telephone Number : 313-674-0115
Fax Number :
Provider Business Practice Location Address
First Line : 1403 W LINEBAUGH AVE
Second Line :
City : TAMPA
State : FL
Zip : 33612-7641
Country : US
Telephone Number : 313-674-0115
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/18/2025
Last Update Date : 02/18/2025

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Directions to “ KATIA CABALLERO ROSALES RN” Practice Location

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