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Organization
ROSE GARDEN HEALTHCARE GROUP LLC
Active
Organization
ROSE GARDEN HEALTHCARE GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALEKSEY BOOHOFF (MANAGING DIRECTOR)
(813) 957-0623
Entity
Organization
Contact information
Practice address
3934 CEDAR CAY CIR, VALRICO, FL 33596-8222
(813) 957-0623
Mailing address
3934 CEDAR CAY CIR, VALRICO, FL 33596-8222
(813) 957-0623
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS 11040
FL
Other
Enumeration date
09/27/2010
Last updated
09/27/2010
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