Healthcare Provider Details

I. General information

NPI: 1760591853
Provider Name (Legal Business Name): ROSA ROOFEH M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/30/2006
Last Update Date: 05/12/2026
Certification Date: 05/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3155 LAKE WORTH RD STE 1
PALM SPRINGS FL
33461-6917
US

IV. Provider business mailing address

2600 S DOUGLAS RD STE 308
CORAL GABLES FL
33134-6134
US

V. Phone/Fax

Practice location:
  • Phone: 561-858-8817
  • Fax: 561-878-8277
Mailing address:
  • Phone: 305-913-9454
  • Fax: 305-442-1198

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberME80712
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: