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Individual
DR. BRICE ALAN ROSELLI
Active
Individual
DR. BRICE ALAN ROSELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC 3612
FL
152WC0802X
Corneal and Contact Management Optometrist
OPC 3612
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20015A
BCBSOFFL PROVIDER #
FL
Enumeration date
06/14/2006
Last updated
01/04/2010
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