Healthcare Provider Details

I. General information

NPI: 1811766868
Provider Name (Legal Business Name): ARIOSTO ROSADO INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/01/2024
Last Update Date: 04/20/2026
Certification Date: 04/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1100 BUTTE ST
REDDING CA
96001-0852
US

IV. Provider business mailing address

478 E ALTAMONTE DR STE 108-802
ALTAMONTE SPG FL
32701-4628
US

V. Phone/Fax

Practice location:
  • Phone: 407-436-4517
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License Number
License Number State

VIII. Authorized Official

Name: ARIOSTO ROSADO
Title or Position: OWNER
Credential:
Phone: 407-436-4517