Provider Demographics
NPI:1295043495
Name:JANNUZZIO, ROSEANNA MARIE (PA-C)
Entity type:Individual
Prefix:MISS
First Name:ROSEANNA
Middle Name:MARIE
Last Name:JANNUZZIO
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Gender:F
Credentials:PA-C
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Mailing Address - Street 1:2605 W SWANN AVE
Mailing Address - Street 2:STE 100
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33609-4039
Mailing Address - Country:US
Mailing Address - Phone:813-874-5500
Mailing Address - Fax:813-874-5506
Practice Address - Street 1:6775 CROSSWINDS DR N
Practice Address - Street 2:
Practice Address - City:ST PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33710-5471
Practice Address - Country:US
Practice Address - Phone:727-381-8006
Practice Address - Fax:727-381-9629
Is Sole Proprietor?:No
Enumeration Date:2010-09-22
Last Update Date:2022-03-16
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Provider Licenses
StateLicense IDTaxonomies
FLPA9105648363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant