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NPI Code Detail

MEDICARE: DR. RONEL DESROSIERS M.D.

MEDICARE:  DR. RONEL  DESROSIERS  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208D00000XGeneral Practice PhysicianACN932FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1437551884
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RONEL DESROSIERS M.D.
Provider Business Mailing Address
First Line : PO BOX 4189
Second Line :
City : DEERFIELD BEACH
State : FL
Zip : 33442-4189
Country : US
Telephone Number : 954-363-9582
Fax Number : 954-363-9663
Provider Business Practice Location Address
First Line : 7229 W OAKLAND PARK BLVD STE 103
Second Line :
City : LAUDERHILL
State : FL
Zip : 33313-1004
Country : US
Telephone Number : 954-824-2615
Fax Number : 754-667-4006
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/17/2014
Last Update Date : 02/01/2022

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Directions to “ DR. RONEL DESROSIERS M.D.” Practice Location

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