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NPI Code Detail

MEDICARE: DR. JEANNETTE ALICIA ROSALES-ZINCONE M.D.

MEDICARE: DR. JEANNETTE ALICIA ROSALES-ZINCONE M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician25MA07757800NJ
2207RH0002XHospice and Palliative Medicine (Internal Medicine) PhysicianME93550FL
3207R00000XInternal Medicine PhysicianME93550FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1033147780
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JEANNETTE ALICIA ROSALES-ZINCONE M.D.
Provider Business Mailing Address
First Line : 2501 N ORANGE AVE STE 235
Second Line :
City : ORLANDO
State : FL
Zip : 32804-4659
Country : US
Telephone Number : 407-303-2906
Fax Number : 407-303-2553
Provider Business Practice Location Address
First Line : 2501 N ORANGE AVE STE 235
Second Line :
City : ORLANDO
State : FL
Zip : 32804-4659
Country : US
Telephone Number : 407-303-2906
Fax Number : 407-303-2553
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/30/2006
Last Update Date : 08/19/2021

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Directions to “ DR. JEANNETTE ALICIA ROSALES-ZINCONE M.D.” Practice Location

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