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NPI Code Detail

MEDICARE: JESSICA ROSARIO M.D.

MEDICARE: JESSICA ROSARIO 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
1207Q00000XFamily Medicine PhysicianME91101FL

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2LQ854OTHERFLMEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3ME91101OTHERFLMEDICINE DOCTOR LIC
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1255318382
Entity Type Code : Individual
Provider Name (Legal Business Name) : JESSICA ROSARIO M.D.
Provider Business Mailing Address
First Line : 6101 BLUE LAGOON DR STE 200
Second Line :
City : MIAMI
State : FL
Zip : 33126-3168
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 14075 TOWN LOOP BLVD
Second Line :
City : ORLANDO
State : FL
Zip : 32837-6132
Country : US
Telephone Number : 407-438-5858
Fax Number : 407-438-7172
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/29/2005
Last Update Date : 02/13/2026

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Directions to “ JESSICA ROSARIO M.D.” Practice Location

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