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1104928647
JOEL BERNARD ROSE
TAMPA, FL
NPI
1104928647
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207QA0505X Family Medicine Adult Medicine
(Licence: FL OS 4694)
Enumeration Date
2006-09-04
Last Update Date
2007-07-08
Business Address
JOEL BERNARD ROSE D.O.
6101 WEBB RD SUITE 207
TAMPA, FL 33615-2872
Phone number: 813-882-3331
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Mailing Address
JOEL BERNARD ROSE D.O.
PO BOX 261748
TAMPA, FL 33685-1748
Phone number: 813-882-3331
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