Most Relevant Information
Provider Data
| NPI Number: | 1003449190 |
| Provider Name: | ROSSMERY VILLAVICENCIO BA |
| Entity Type: | Individual |
| Taxonomy Code: | 104100000X |
| Specialty: | Social Worker |
| License Number: |
Most Important Dates
| Enumeration Date: | 02/17/2020 |
| Last Updated: | 02/17/2020 |
Provider Practice Location
5707 N 22ND ST
TAMPA
FL
336104350
Practice Location Phone/Fax
| Phone: | 8132398069 |
| Fax: | 8132317324 |
Provider Mailing Location
5707 N 22ND ST
TAMPA
FL
336104350
Provider Mailing Phone/Fax
| Phone: | 8132398069 |
| Fax: | 8132317324 |