Provider Demographics
NPI:1255057360
Name:HELMUTH, ROSINA ANGELINA (PA-C)
Entity type:Individual
Prefix:MRS
First Name:ROSINA
Middle Name:ANGELINA
Last Name:HELMUTH
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8056 FORT DADE AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKSVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:34601-8938
Mailing Address - Country:US
Mailing Address - Phone:352-238-9343
Mailing Address - Fax:
Practice Address - Street 1:4052 COMMERCIAL WAY
Practice Address - Street 2:
Practice Address - City:SPRING HILL
Practice Address - State:FL
Practice Address - Zip Code:34606-2398
Practice Address - Country:US
Practice Address - Phone:352-610-4812
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-10-19
Last Update Date:2025-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPA9116635363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical