=====================================================
General NPI Number Information
=====================================================
NPI Number | 1124430301
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | LUIS ALEJANDRO ROSADO D.C.
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 05/22/2014
-----------------------------------------------------
Last Update Date | 09/03/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 35600 US HWY 27 N
-----------------------------------------------------
City | HAINES CITY
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33844-3731
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 863-340-1549
-----------------------------------------------------
Fax | 863-340-1216
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 35600 US HWY 27 N
-----------------------------------------------------
City | HAINES CITY
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33844-3731
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 863-340-1549
-----------------------------------------------------
Fax | 863-340-1216
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 111N00000X
-----------------------------------------------------
Taxonomy Name | Chiropractor
-----------------------------------------------------
License Number | CH13240
-----------------------------------------------------
License Number State | FL
-----------------------------------------------------