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NPI Code Detail

MEDICARE: KRISTEN ROSARIO

MEDICARE: KRISTEN ROSARIO
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
1363L00000XNurse PractitionerAPRN11045413FL

General Provider Information

NPI Number : 1487507091
Entity Type Code : Individual
Provider Name (Legal Business Name) : KRISTEN ROSARIO
Provider Business Mailing Address
First Line : 4725 N FEDERAL HWY
Second Line :
City : FORT LAUDERDALE
State : FL
Zip : 33308-4668
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4725 N FEDERAL HWY
Second Line :
City : FORT LAUDERDALE
State : FL
Zip : 33308-4668
Country : US
Telephone Number : 954-771-8000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/16/2026
Last Update Date : 02/16/2026

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Directions to “ KRISTEN ROSARIO ” Practice Location

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