Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 111NN0400X | Neurology | CH10148 | FL |
Y | 363LF0000X | Nurse Practitioner - Family Medicine | APRN11012178 | FL |
NPI | 1336442466 |
---|---|
Provider Name | Dr. Rajnarine Roopnarine |
First Address | Tampa, FL 33619-4469 |
Second Address | Tampa, FL 33619-4469 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/12/2010 |
Last Update Date | 28/06/2021 |