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Individual
JOSE J ROSALES
Active
Individual
JOSE J ROSALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME 71082
FL
207QA0000X
Adolescent Medicine (Family Medicine) Physician
ME 71082
FL
207QA0505X
Adult Medicine Physician
ME 71082
FL
207QG0300X
Geriatric Medicine (Family Medicine) Physician
ME 71082
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
31498
BLUE CROSS BLUE SHIELD FL
FL
Enumeration date
06/24/2006
Last updated
02/12/2015
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