MEDICARE: ROSE GISELE BAZILE

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
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	APRN11044283	FL

General Provider Information

NPI Number	:	1164388062
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROSE GISELE BAZILE

Provider Business Mailing Address
First Line	:	1000 NW 10TH AVE
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33311-6137
Country	:	US
Telephone Number	:	954-728-9200
Fax Number	:	954-728-8660

Provider Business Practice Location Address
First Line	:	1000 NW 10TH AVE
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33311-6137
Country	:	US
Telephone Number	:	954-728-9200
Fax Number	:	954-728-8660

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/05/2026
Last Update Date	:	03/26/2026

Similar Medicare Providers

1093877631 — DR. YVES MICHEL ANTOINE JODESTY MD
Practice Location Address:

1000 NW 10TH AVE
FORT LAUDERDALE, FL
33311-6137

Practice Phone: 954-728-9200
Practice Fax: 954-728-8660

1114228368 — MANOR MEDICAL CENTER INC.
Practice Location Address:

1000 NW 10TH AVE
FORT LAUDERDALE, FL
33311-6137

Practice Phone: 954-728-9200
Practice Fax: 954-728-8660

1780138867 — HUBERT T. KEBREAU OPTICIAN
Practice Location Address:

1024 NW 10TH AVE
FORT LAUDERDALE, FL
33311-6137

Practice Phone: 954-764-2330
Practice Fax: 954-968-6778

1356113724 — ARIA HEALTH LLC
Practice Location Address:

1000 NW 10TH AVE
FORT LAUDERDALE, FL
33311-6137

Practice Phone: 954-900-3163
Practice Fax:

1053772699 — MR. HUBERT KEBREAU III LDO
Practice Location Address:

1024 NW 10TH AVE
FT LAUDERDALE, FL
33311-6137

Practice Phone: 954-764-0115
Practice Fax:

1790239879 — LLOPTIKMASTERS,INC
Practice Location Address:

1024 NW 10TH AVE
FT LAUDERDALE, FL
33311-6137

Practice Phone: 954-764-2330
Practice Fax: 954-969-6788

Directions to “ ROSE GISELE BAZILE ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.