Healthcare Provider Details

I. General information

NPI: 1194639245
Provider Name (Legal Business Name): CENTRAL FLORIDA RHEUMATISM AND OSTEOPOROSIS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/28/2026
Last Update Date: 09/28/2026
Certification Date: 09/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1535 W NASA BLVD STE 103
MELBOURNE FL
32901-2614
US

IV. Provider business mailing address

1535 W NASA BLVD STE 103
MELBOURNE FL
32901-2614
US

V. Phone/Fax

Practice location:
  • Phone: 321-837-0010
  • Fax: 321-837-0090
Mailing address:
  • Phone: 321-837-0010
  • Fax: 321-837-0090

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License Number
License Number StateNULL

VIII. Authorized Official

Name: DR. LUIS ARMANDO DEL ROSARIO
Title or Position: RHEUMATOLOGY/OWNER
Credential: MD
Phone: 321-837-0010