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1043908619
ROGER MANUEL PUPO
TAMPA, FL
NPI
1043908619
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: FL 11026070)
Enumeration Date
2023-05-01
Last Update Date
2023-05-01
Business Address
ROGER MANUEL PUPO
6601 MEMORIAL HWY STE 112
TAMPA, FL 33615-4501
Phone number: 727-353-3446
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Mailing Address
ROGER MANUEL PUPO
6601 MEMORIAL HWY STE 112
TAMPA, FL 33615-4501
Phone number: 727-353-3446
Copy
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