Provider Demographics
NPI:1124250618
Name:BORZELL, ROSEMARY C (MA CCC-SLP)
Entity type:Individual
Prefix:MISS
First Name:ROSEMARY
Middle Name:C
Last Name:BORZELL
Suffix:
Gender:F
Credentials:MA CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5000 CULBREATH KEY WAY
Mailing Address - Street 2:#1-202
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33611-3051
Mailing Address - Country:US
Mailing Address - Phone:813-841-0040
Mailing Address - Fax:
Practice Address - Street 1:6798 CROSSWINDS DR N
Practice Address - Street 2:E101
Practice Address - City:ST PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33710-8603
Practice Address - Country:US
Practice Address - Phone:727-823-2529
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-08-17
Last Update Date:2009-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSA 8578235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist