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Organization

RICHARD M ROSEN, DO, PA

Active
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Organization

RICHARD M ROSEN, DO, PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
RICHARD M ROSEN D.O. (OWNER)
(954) 322-2245
Entity
Organization

Contact information

Practice address
9900 STIRLING ROAD, SUITE 102, COOPER CITY, FL 33024
(954) 322-2245
(954) 322-2248
Mailing address
9900 STIRLING ROAD, SUITE 102, COOPER CITY, FL 33024
(954) 322-2245
(954) 322-2248

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS3685
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
005379
NHP
FL
01
—
1020609
CAREPLUS
FL
01
—
172536
JMH
FL
01
—
206378
AVMED
FL
01
—
82090
BCBS
FL
Enumeration date
10/30/2009
Last updated
10/30/2009
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