Healthcare Provider Details

I. General information

NPI: 1871410332
Provider Name (Legal Business Name): DB ROSE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/03/2026
Last Update Date: 07/03/2026
Certification Date: 07/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1200 OAKLEY SEAVER DR STE 213
CLERMONT FL
34711-1960
US

IV. Provider business mailing address

5295 CORTLAND DR
DAVENPORT FL
33837-1763
US

V. Phone/Fax

Practice location:
  • Phone: 407-440-1828
  • Fax:
Mailing address:
  • Phone: 863-323-7743
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: DENISE MARTINEZ
Title or Position: CLINICAL DIRECTOR
Credential: LMHC
Phone: 407-440-1828