Healthcare Provider Details

I. General information

NPI: 1962370916
Provider Name (Legal Business Name): JOAN MARIE ROSEMCFARQUHAR
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/29/2025
Last Update Date: 08/19/2026
Certification Date: 08/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2498 SE WATERCREST ST
PORT SAINT LUCIE FL
34984-5225
US

IV. Provider business mailing address

2498 SE WATERCREST ST
PORT SAINT LUCIE FL
34984-5225
US

V. Phone/Fax

Practice location:
  • Phone: 754-234-8920
  • Fax:
Mailing address:
  • Phone: 754-234-8920
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code311ZA0620X
TaxonomyAdult Care Home Facility
License Number
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code372500000X
TaxonomyChore Provider
License Number
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code372600000X
TaxonomyAdult Companion
License Number
License Number StateFL
# 4
Primary TaxonomyN
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: