Healthcare Provider Details

I. General information

NPI: 1699709675
Provider Name (Legal Business Name): MANUEL FRANCISCO ROSADO ARNP, BC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/10/2006
Last Update Date: 07/28/2026
Certification Date: 07/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10151 DEERWOOD PARK BLVD # 300
JACKSONVILLE FL
32256-0566
US

IV. Provider business mailing address

22829 STATE ROAD 54
LAND O LAKES FL
34639-5227
US

V. Phone/Fax

Practice location:
  • Phone: 855-732-5181
  • Fax:
Mailing address:
  • Phone: 844-362-2329
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number3128792
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: