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General NPI Number Information
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NPI Number | 1972437473
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Entity Type | Organization
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Legal Business Name | TWELVE ROSE MEDICAL GROUP LLC
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Dates
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Enumeration Date | 06/10/2026
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Last Update Date | 06/10/2026
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Provider Practice Location Address
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Address Line | 1830 S OCEAN DR APT 2407
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City | HALLANDALE BEACH
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State | FL
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Zip | 33009-7697
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Country | US
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Telephone | 718-362-1411
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Fax | 718-362-1651
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Provider Business Mailing Address
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Address Line | 228 E ROUTE 59 STE 307
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City | NANUET
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State | NY
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Zip | 10954-2905
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Country | US
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Telephone | 877-258-6331
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Fax | 718-362-1651
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Authorized Official
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Title or Position | OWNER
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Name | AARON J FEBUS
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Credential |
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Telephone | 718-362-1411
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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