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Jose Rosa, MD
General Practice Physician in Haines City, Florida
NPI 1326772484

Jose Rosa is a General Practice Physician based in Deerfield Beach, FL. Jose Rosa practices in Haines City, FL and has the professional credentials of MD. The NPI Number for Jose Rosa is 1326772484 and holds a License No. 15811-I (Florida).

The current practice location address for Jose Rosa is 608 Ingraham Ave, Haines City, FL and can be reached out via phone at 863-422-9562 and via fax at 863-421-3246.

Location: 608 Ingraham Ave, Haines City, FL, 33442-4189
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1326772484
Provider Name
Jose Rosa
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
608 Ingraham Ave, Haines City, FL, 33442-4189
Phone Number
863-422-9562
Fax Number
863-421-3246
Provider Enumeration Date
07/14/2022
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
116450600 05 FL
institution
Provider Business Practice Location Address Details
Address
608 Ingraham Ave
City
Haines City
State
Florida
Zip
33844-4330
Phone Number
863-422-9562
Fax Number
863-421-3246
person
Provider Business Mailing Address Details
Address
608 Ingraham Ave
City
Haines City
State
Florida
Zip
33844-4330
Phone Number
863-422-9562
Fax Number
863-421-3246
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
15811-I ()
Definition
Definition to come...
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