Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YP0228X | Pediatric Otolaryngology | N6682 | TX |
NPI | 1205008646 |
---|---|
Provider Name | Rose Stavinoha Trowbridge |
First Address | St Petersburg, FL 33734-6479 |
Second Address | St Petersburg, FL 33701-4804 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/03/2008 |
Last Update Date | 07/01/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
008973400 | (05) | FL |
095065103 | (05) | TX |
219159501 | (05) | TX |