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NPI Code Detail

MEDICARE: ROSA CERVANTES

MEDICARE: ROSA CERVANTES
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 Nurse9588866FL
2163WL0100XLactation Consultant (Registered Nurse)87794CO
3163WS0200XSchool Registered Nurse9588866FL

General Provider Information

NPI Number : 1518764711
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROSA CERVANTES
Provider Business Mailing Address
First Line : 3916 E HILLSBOROUGH AVE
Second Line :
City : TAMPA
State : FL
Zip : 33610-4542
Country : US
Telephone Number : 813-236-1755
Fax Number :
Provider Business Practice Location Address
First Line : 3916 E HILLSBOROUGH AVE
Second Line :
City : TAMPA
State : FL
Zip : 33610-4542
Country : US
Telephone Number : 813-236-1755
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/26/2025
Last Update Date : 02/26/2025

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1720893225 — GERI S. HENRY SLP
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TAMPA, FL
33610-4542
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1932904844 — MARISOL GARCIA SLPA
Practice Location Address:
3916 E HILLSBOROUGH AVE
TAMPA, FL
33610-4542
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1578440608 — SARAH BERMAN BS
Practice Location Address:
3916 E HILLSBOROUGH AVE
TAMPA, FL
33610-4542
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Directions to “ ROSA CERVANTES ” Practice Location

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