Healthcare Provider Details

I. General information

NPI: 1124831888
Provider Name (Legal Business Name): ROSALINDA DAO APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/28/2025
Last Update Date: 01/28/2025
Certification Date: 01/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10139 PINES BLVD STE 122
PEMBROKE PINES FL
33026-3978
US

IV. Provider business mailing address

14888 SW 42ND ST
MIRAMAR FL
33027
US

V. Phone/Fax

Practice location:
  • Phone: 954-864-8214
  • Fax:
Mailing address:
  • Phone: 786-531-5415
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN11028335
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: