Basic Information
| Provider Information | |||||||||
| NPI: | 1124250618 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | BORZELL | ||||||||
| FirstName: | ROSEMARY | ||||||||
| MiddleName: | C | ||||||||
| NamePrefix: | MISS | ||||||||
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| Credential: | M.A. CCC-SLP | ||||||||
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| Mailing Information | |||||||||
| Address1: | 5000 CULBREATH KEY WAY | ||||||||
| Address2: | #1-202 | ||||||||
| City: | TAMPA | ||||||||
| State: | FL | ||||||||
| PostalCode: | 336113051 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8138410040 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 6798 CROSSWINDS DR N | ||||||||
| Address2: | E101 | ||||||||
| City: | ST PETERSBURG | ||||||||
| State: | FL | ||||||||
| PostalCode: | 337108603 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7278232529 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 08/17/2009 | ||||||||
| LastUpdateDate: | 08/17/2009 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 235Z00000X | SA 8578 | FL | Y | Speech, Language and Hearing Service Providers | Speech-Language Pathologist |
No ID Information.