Healthcare Provider Details

I. General information

NPI: 1780276188
Provider Name (Legal Business Name): ROSEMENE SINCERE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/07/2021
Last Update Date: 06/25/2026
Certification Date: 06/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1228 SPRINGVALE TERRACE CT
LELAND NC
28451-4209
US

IV. Provider business mailing address

1228 SPRINGVALE TERRACE CT
LELAND NC
28451-4209
US

V. Phone/Fax

Practice location:
  • Phone: 305-240-8879
  • Fax:
Mailing address:
  • Phone: 305-240-8879
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171W00000X
TaxonomyContractor
License Number
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: