MEDICARE: TWELVE ROSE MEDICAL GROUP LLC

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
1	363L00000X	Nurse Practitioner

General Provider Information

NPI Number	:	1972437473
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TWELVE ROSE MEDICAL GROUP LLC

Provider Business Mailing Address
First Line	:	228 E ROUTE 59 STE 307
Second Line	:
City	:	NANUET
State	:	NY
Zip	:	10954-2905
Country	:	US
Telephone Number	:	877-258-6331
Fax Number	:	718-362-1651

Provider Business Practice Location Address
First Line	:	1830 S OCEAN DR APT 2407
Second Line	:
City	:	HALLANDALE BEACH
State	:	FL
Zip	:	33009-7697
Country	:	US
Telephone Number	:	718-362-1411
Fax Number	:	718-362-1651

Authorized Official
Title or Position	:	OWNER
Name	:	AARON J FEBUS
Credential	:
Telephone Number	:	718-362-1411

Provider Enumeration Date	:	06/10/2026
Last Update Date	:	06/10/2026

Similar Medicare Providers

1417003633 — DR. CU NGOC PHAN M.D.
Practice Location Address:

400 NEWPORT CENTER DR STE 409
NEWPORT BEACH, CA
92660-7697

Practice Phone: 949-718-4315
Practice Fax: 949-718-4316

1881134302 — JASMINE WRIGHT LCSW
Practice Location Address:

7697 COLONY LAKE DR
BOYNTON BEACH, FL
33436-1301

Practice Phone: 305-497-3895
Practice Fax:

1790226306 — MILESTONE BEHAVIORAL HEALTH SYSTEMS LLC
Practice Location Address:

7697 COLONY LAKE DR
BOYNTON BEACH, FL
33436

Practice Phone: 305-497-3895
Practice Fax:

1942724869 — BEATRICE FERNANDEZ LMHC
Practice Location Address:

220 SW 4TH AVE
HALLANDALE BEACH, FL
33009-5433

Practice Phone: 954-740-3452
Practice Fax:

1548194376 — SOUTH FLORIDA NEUROLOGY CENTER PA
Practice Location Address:

800 N FEDERAL HWY STE 1006
HALLANDALE BEACH, FL
33009-2471

Practice Phone: 347-771-4560
Practice Fax:

1891850004 — INNA MICHNIK DDS
Practice Location Address:

411 N FEDERAL HWY UNIT 102
HALLANDALE BEACH, FL
33009-3899

Practice Phone: 754-816-1965
Practice Fax: 754-551-5851

Directions to “TWELVE ROSE MEDICAL GROUP LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.