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General NPI Number Information
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NPI Number | 1952562589
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Entity Type | Organization
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Legal Business Name | ROSE HEALTHCARE CENTER
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Dates
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Enumeration Date | 06/17/2008
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Last Update Date | 08/15/2008
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Provider Practice Location Address
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Address Line | 6638 OLD WINTER GARDEN RD
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City | ORLANDO
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State | FL
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Zip | 32835-1231
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Country | US
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Telephone | 407-298-9211
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Fax | 407-298-9227
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Provider Business Mailing Address
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Address Line | 6638 OLD WINTER GARDEN RD
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City | ORLANDO
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State | FL
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Zip | 32835-1231
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Country | US
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Telephone | 407-298-9211
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Fax | 407-298-9227
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Authorized Official
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Title or Position | PRESIDENT/CO OWNER
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Name | DR. BARRY L ROSE
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Credential | M.S. D.C.
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Telephone | 407-298-9211
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number |
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 111NN1001X
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Taxonomy Name | Nutrition Chiropractor
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License Number |
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License Number State |
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