Healthcare Provider Details

I. General information

NPI: 1679513782
Provider Name (Legal Business Name): ANTHONY F. ROSSI MD.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/07/2006
Last Update Date: 09/24/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3100 S.W. 62 AVENUE
MIAMI FL
33155-3009
US

IV. Provider business mailing address

P.O. BOX 557367
MIAMI FL
33255
US

V. Phone/Fax

Practice location:
  • Phone: 305-662-8301
  • Fax: 305-662-8304
Mailing address:
  • Phone: 786-624-5845
  • Fax: 786-624-5881

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080P0202X
TaxonomyPediatric Cardiology Physician
License NumberME75718
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: