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NPI Code Detail

MEDICARE: MRS. ISIS E. ROSSO M.S. ED., ITDS

MEDICARE: MRS. ISIS E. ROSSO M.S. ED., ITDS
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
1222Q00000XDevelopmental Therapist

Other Identifiers

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

General Provider Information

NPI Number : 1730499450
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. ISIS E. ROSSO M.S. ED., ITDS
Provider Business Mailing Address
First Line : 1645 PALM BEACH LAKES BLVD STE 1200
Second Line :
City : WEST PALM BEACH
State : FL
Zip : 33401-2214
Country : US
Telephone Number : 561-827-7336
Fax Number : 270-738-5243
Provider Business Practice Location Address
First Line : 1645 PALM BEACH LAKES BLVD STE 1200
Second Line :
City : WEST PALM BEACH
State : FL
Zip : 33401-2214
Country : US
Telephone Number : 561-827-7336
Fax Number : 270-738-5243
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/15/2010
Last Update Date : 10/01/2024

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