Healthcare Provider Details

I. General information

NPI: 1598757072
Provider Name (Legal Business Name): PETER ALFIO ROSSI MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/19/2005
Last Update Date: 06/01/2026
Certification Date: 06/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3633 LITTLE RD STE 102
TRINITY FL
34655-1815
US

IV. Provider business mailing address

3633 LITTLE RD STE 102
TRINITY FL
34655-1815
US

V. Phone/Fax

Practice location:
  • Phone: 727-372-5952
  • Fax:
Mailing address:
  • Phone: 727-372-5952
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RI0011X
TaxonomyInterventional Cardiology Physician
License NumberME64147
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: