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NPI Code Detail

MEDICARE: ROSE GOLD CARE LLC

MEDICARE: ROSE GOLD CARE LLC
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
1363LF0000XFamily Nurse Practitioner

General Provider Information

NPI Number : 1538040977
Entity Type Code : Organization
Provider Name (Legal Business Name) : ROSE GOLD CARE LLC
Provider Business Mailing Address
First Line : 301 SW 1ST AVE APT 3415
Second Line :
City : FORT LAUDERDALE
State : FL
Zip : 33301-4409
Country : US
Telephone Number : 954-909-1044
Fax Number : 754-663-4866
Provider Business Practice Location Address
First Line : 101 N STATE ROAD 7 STE 103
Second Line :
City : MARGATE
State : FL
Zip : 33063-4589
Country : US
Telephone Number : 954-909-1044
Fax Number : 754-663-4866
Authorized Official
Title or Position : OWNER/MANAGING
Name : MS. SUDLAIRE THERESA CHARLOTIN
Credential : MSN, RN, FNP-BC
Telephone Number : 954-909-1044
Provider Enumeration Date : 09/11/2025
Last Update Date : 04/02/2026

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Directions to “ROSE GOLD CARE LLC ” Practice Location

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