Healthcare Provider Details

I. General information

NPI: 1952704082
Provider Name (Legal Business Name): ROSAMMA BABYJOSEPH APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ROSE BABYJOSEPH ARNP

II. Dates (important events)

Enumeration Date: 10/03/2014
Last Update Date: 11/30/2020
Certification Date: 11/30/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1623 SW 1ST AVE
OCALA FL
34471-6528
US

IV. Provider business mailing address

1623 SW 1ST AVE
OCALA FL
34471-6528
US

V. Phone/Fax

Practice location:
  • Phone: 352-732-9844
  • Fax: 352-732-6787
Mailing address:
  • Phone: 352-732-9844
  • Fax: 352-732-6787

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN9209748
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: