MEDICARE: REGINA ELIZABETH WELLS ROZZI ARNP

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	363LA2200X	Adult Health Nurse Practitioner	ARNP2162612	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	ARNP2162612	OTHER	FL	ARNP FLORIDA LICENSE
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1780917500
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	REGINA ELIZABETH WELLS ROZZI ARNP

Provider Business Mailing Address
First Line	:	3450 W CENTRAL AVE STE 230
Second Line	:	HEARTLAND CARE PARTNERS
City	:	TOLEDO
State	:	OH
Zip	:	43606-1417
Country	:	US
Telephone Number	:	800-375-5495
Fax Number	:	800-564-5952

Provider Business Practice Location Address
First Line	:	2851 TAMPA RD
Second Line	:	HEARTLAND CARE PARTNERS / MCHS PALM HARBOR
City	:	PALM HARBOR
State	:	FL
Zip	:	34684-3314
Country	:	US
Telephone Number	:	800-375-5495
Fax Number	:	800-564-5952

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

Provider Enumeration Date	:	09/11/2009
Last Update Date	:	02/26/2013

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