MEDICARE: MRS. MAY GRACE SONALAN ROSENZWEIG 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	ARNP9177854	FL

General Provider Information

NPI Number	:	1972581494
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. MAY GRACE SONALAN ROSENZWEIG ARNP

Provider Business Mailing Address
First Line	:	9921 NW 60TH PL
Second Line	:
City	:	PARKLAND
State	:	FL
Zip	:	33076-2558
Country	:	US
Telephone Number	:	954-755-8648
Fax Number	:

Provider Business Practice Location Address
First Line	:	9878 CLINT MOORE RD
Second Line	:	SUITE 204
City	:	BOCA RATON
State	:	FL
Zip	:	33496-1037
Country	:	US
Telephone Number	:	561-451-2454
Fax Number	:	561-451-1223

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

Provider Enumeration Date	:	01/04/2006
Last Update Date	:	02/25/2012

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