Provider Demographics
NPI:1144530445
Name:AGRA, ROSEMARIE MAKALINTAL (ARNP)
Entity type:Individual
Prefix:
First Name:ROSEMARIE
Middle Name:MAKALINTAL
Last Name:AGRA
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:ROSEMARIE
Other - Middle Name:AGRA
Other - Last Name:UTT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ARNP
Mailing Address - Street 1:400 N ASHLEY DR
Mailing Address - Street 2:SUITE 1625
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33602-4300
Mailing Address - Country:US
Mailing Address - Phone:813-844-4434
Mailing Address - Fax:813-844-4972
Practice Address - Street 1:1 TAMPA GENERAL CIR
Practice Address - Street 2:SUITE 327
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33606-3571
Practice Address - Country:US
Practice Address - Phone:813-844-7677
Practice Address - Fax:813-844-4972
Is Sole Proprietor?:No
Enumeration Date:2010-10-20
Last Update Date:2022-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP 9191516363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health