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Ivelisse Rosa, DPM
Foot Surgery Podiatrist in The Villages, Florida
NPI 1689764995

Ivelisse Rosa is a Foot Surgery Podiatrist based in The Villages, FL and is specialized in Foot Surgery. Ivelisse Rosa practices in The Villages, FL and has the professional credentials of DPM. The NPI Number for Ivelisse Rosa is 1689764995 and holds a License No. 25MD00288300 (Florida).

The current practice location address for Ivelisse Rosa is 340 Heald Way Bldg 100, The Villages, FL and can be reached out via phone at 352-259-1919.

Location: 340 Heald Way Bldg 100, The Villages, FL, 32163-6087
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1689764995
Provider Name
Ivelisse Rosa
Credential
DPM
Provider Entity Type
Individual
Gender
Female
Address
340 Heald Way Bldg 100, The Villages, FL, 32163-6087
Phone Number
352-259-1919
Fax Number
Provider Enumeration Date
10/15/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
340 Heald Way Bldg 100
City
The Villages
State
Florida
Zip
32163-6087
Phone Number
352-259-1919
Fax Number
person
Provider Business Mailing Address Details
Address
340 Heald Way Bldg 100
City
The Villages
State
Florida
Zip
32163-6087
Phone Number
352-259-1919
Fax Number
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot Surgery
Taxonomy
213ES0131X
License No.
25MD00288300 (New Jersey)
Definition
Definition to come...
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