Healthcare Provider Details

I. General information

NPI: 1952562589
Provider Name (Legal Business Name): ROSE HEALTHCARE CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/17/2008
Last Update Date: 08/15/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6638 OLD WINTER GARDEN RD
ORLANDO FL
32835-1231
US

IV. Provider business mailing address

6638 OLD WINTER GARDEN RD
ORLANDO FL
32835-1231
US

V. Phone/Fax

Practice location:
  • Phone: 407-298-9211
  • Fax: 407-298-9227
Mailing address:
  • Phone: 407-298-9211
  • Fax: 407-298-9227

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NN1001X
TaxonomyNutrition Chiropractor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number
License Number StateFL

VIII. Authorized Official

Name: DR. BARRY L ROSE
Title or Position: PRESIDENT/CO OWNER
Credential: M.S. D.C.
Phone: 407-298-9211