MEDICARE: DR. MAGGIE ROSADOMARTINEZ 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
1	207RE0101X	Endocrinology, Diabetes & Metabolism Physician	ME43826	FL
2	207R00000X	Internal Medicine Physician	ME43826	FL

Other Identifiers

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

General Provider Information

NPI Number	:	1437189479
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MAGGIE ROSADOMARTINEZ M.D.

Provider Business Mailing Address
First Line	:	PO BOX 616788
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32861-6788
Country	:	US
Telephone Number	:	407-447-7105
Fax Number	:	407-282-8019

Provider Business Practice Location Address
First Line	:	2285 S SEMORAN BLVD
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32822-2703
Country	:	US
Telephone Number	:	407-281-6054
Fax Number	:	407-282-8019

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

Provider Enumeration Date	:	07/04/2006
Last Update Date	:	03/25/2013

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