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Crista Marina Ana Lucia Rosborough, ATC,LAT
Specialist in Hawthorne, Florida
NPI 1073968715

Crista Marina Ana Lucia Rosborough is a Specialist based in Gainesville, FL. Crista Marina Ana Lucia Rosborough practices in Hawthorne, FL and has the professional credentials of ATC,LAT. The NPI Number for Crista Marina Ana Lucia Rosborough is 1073968715 and holds a License No. AL4275 (Florida).

The current practice location address for Crista Marina Ana Lucia Rosborough is 21403 Se 70Th Ave, Hawthorne, FL and can be reached out via phone at 412-477-9382.

Location: 21403 Se 70Th Ave, Hawthorne, FL, 32607-2078
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1073968715
Provider Name
Crista Marina Ana Lucia Rosborough
Credential
ATC,LAT
Provider Entity Type
Individual
Gender
Female
Address
21403 Se 70Th Ave, Hawthorne, FL, 32607-2078
Phone Number
412-477-9382
Fax Number
Provider Enumeration Date
05/02/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
AL4275 01 FL DEPARTMENT OF HEALTH DIVISION OF MEDICAL QUALITY ASSURANCE
institution
Provider Business Practice Location Address Details
Address
21403 Se 70Th Ave
City
Hawthorne
State
Florida
Zip
32640
Phone Number
412-477-9382
Fax Number
person
Provider Business Mailing Address Details
Address
21403 Se 70Th Ave
City
Hawthorne
State
Florida
Zip
32640
Phone Number
412-477-9382
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
AL4275 (Florida)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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