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General NPI Number Information
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NPI Number | 1790225134
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Entity Type | Individual
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Provider Name | ROSEMARY ANN SAVAGE D.O.
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Gender | Female
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Dates
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Enumeration Date | 03/05/2017
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Last Update Date | 06/23/2020
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Provider Practice Location Address
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Address Line | 500 MEMORIAL CIR STE C
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City | ORMOND BEACH
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State | FL
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Zip | 32174-5054
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Country | US
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Telephone | 386-615-3500
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Fax | 386-615-3505
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Provider Business Mailing Address
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Address Line | 5335 SHORE DR
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City | SAINT AUGUSTINE
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State | FL
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Zip | 32086-6477
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | OS16806
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License Number State | FL
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