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NPI Code Detail

MEDICARE: ROSE FABIENNE JAMES

MEDICARE: ROSE FABIENNE JAMES
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
1208000000XPediatrics PhysicianME139342FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1790128791
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROSE FABIENNE JAMES
Provider Business Mailing Address
First Line : 3910 NORTHDALE BLVD STE 204
Second Line :
City : TAMPA
State : FL
Zip : 33624-1800
Country : US
Telephone Number : 813-570-6971
Fax Number :
Provider Business Practice Location Address
First Line : 5611 SHELDON RD FL 3532
Second Line :
City : TAMPA
State : FL
Zip : 33615-3532
Country : US
Telephone Number : 813-397-5300
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/10/2013
Last Update Date : 08/08/2024

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Directions to “ ROSE FABIENNE JAMES ” Practice Location

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