Healthcare Provider Details

I. General information

NPI: 1972581494
Provider Name (Legal Business Name): MAY GRACE SONALAN ROSENZWEIG ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/04/2006
Last Update Date: 02/25/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9878 CLINT MOORE RD SUITE 204
BOCA RATON FL
33496-1037
US

IV. Provider business mailing address

9921 NW 60TH PL
PARKLAND FL
33076-2558
US

V. Phone/Fax

Practice location:
  • Phone: 561-451-2454
  • Fax: 561-451-1223
Mailing address:
  • Phone: 954-755-8648
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberARNP9177854
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: