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General NPI Number Information
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NPI Number | 1992751358
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Entity Type | Organization
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Legal Business Name | FLORO D ROSARIO MD PC
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Dates
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Enumeration Date | 05/26/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 15136 LEVAN RD
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City | LIVONIA
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State | MI
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Zip | 48154-5027
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Country | US
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Telephone | 734-779-2130
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Fax | 734-779-2152
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Provider Business Mailing Address
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Address Line | 15136 LEVAN RD
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City | LIVONIA
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State | MI
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Zip | 48154-5027
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Country | US
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Telephone | 734-779-2130
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Fax | 734-779-2152
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Authorized Official
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Title or Position | PRESIDENT
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Name | FLORO D ROSARIO
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Credential | MD
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Telephone | 734-779-2130
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 4301032741
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License Number State | MI
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