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1639540453
ELAINE ROUCO PEREZ
TAMPA, FL
NPI
1639540453
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: FL PA9109133)
Enumeration Date
2015-10-20
Last Update Date
2024-08-29
Business Address
ELAINE ROUCO PEREZ
6822 W WATERS AVE
TAMPA, FL 33634-2212
Phone number: 813-280-4909
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Mailing Address
ELAINE ROUCO PEREZ
6822 W WATERS AVE
TAMPA, FL 33634-2212
Phone number: 813-280-4909
Copy
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