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Evelena Cecelia Cousin-peterson, MD
Student in an Organized Health Care Education/Training Program in Tampa, Florida
NPI 1114360849

Evelena Cecelia Cousin-peterson is a Student in an Organized Health Care Education/Training Program based in Tampa, FL. Evelena Cecelia Cousin-peterson practices in Tampa, FL and has the professional credentials of MD. The NPI Number for Evelena Cecelia Cousin-peterson is 1114360849 and holds a License No. (Florida).

The current practice location address for Evelena Cecelia Cousin-peterson is 12901 Bruce B Downs Blvd, Tampa, FL and can be reached out via phone at 813-844-7412 and via fax at 813-974-8359.

Location: 12901 Bruce B Downs Blvd, Tampa, FL, 33612-4742
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1114360849
Provider Name
Evelena Cecelia Cousin-peterson
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
12901 Bruce B Downs Blvd, Tampa, FL, 33612-4742
Phone Number
813-844-7412
Fax Number
813-974-8359
Provider Enumeration Date
04/11/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
12901 Bruce B Downs Blvd
City
Tampa
State
Florida
Zip
33612-4742
Phone Number
813-844-7412
Fax Number
813-974-8359
person
Provider Business Mailing Address Details
Address
12901 Bruce B Downs Blvd
City
Tampa
State
Florida
Zip
33612-4742
Phone Number
813-844-7412
Fax Number
813-974-8359
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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