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NPI Code Detail

MEDICARE: ROSE CARLINE TIMA SOCIAL WORKER

MEDICARE: ROSE CARLINE TIMA SOCIAL WORKER
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
1104100000XSocial Worker

General Provider Information

NPI Number : 1033598552
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROSE CARLINE TIMA SOCIAL WORKER
Provider Business Mailing Address
First Line : 920 NW 7TH AVE
Second Line :
City : FORT LAUDERDALE
State : FL
Zip : 33311-7229
Country : US
Telephone Number : 954-779-3990
Fax Number :
Provider Business Practice Location Address
First Line : 920 NW 7TH AVE
Second Line :
City : FORT LAUDERDALE
State : FL
Zip : 33311-7229
Country : US
Telephone Number : 954-779-3990
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/29/2015
Last Update Date : 05/29/2015

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Directions to “ ROSE CARLINE TIMA SOCIAL WORKER” Practice Location

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