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NPI Code Detail

MEDICARE: DR. ROSA ROOFEH M.D.

MEDICARE: DR. ROSA ROOFEH 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
1207R00000XInternal Medicine PhysicianME80712FL

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 : 1760591853
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ROSA ROOFEH M.D.
Provider Business Mailing Address
First Line : 2600 S DOUGLAS RD STE 308
Second Line :
City : CORAL GABLES
State : FL
Zip : 33134-6134
Country : US
Telephone Number : 305-913-9454
Fax Number : 305-442-1198
Provider Business Practice Location Address
First Line : 3155 LAKE WORTH RD STE 1
Second Line :
City : PALM SPRINGS
State : FL
Zip : 33461-6917
Country : US
Telephone Number : 561-858-8817
Fax Number : 561-878-8277
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/30/2006
Last Update Date : 05/12/2026

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