# ROSALIE A JEFFERSON, P.A.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1902094394
- **Authorized official:** ROSALIE JEFFERSON ARNP (PRESIDIENT)
- **Authorized official phone:** (407) 625-0135

## Contact information

- **Practice address:** 718 GRISHAM ST, WINTER GARDEN, FL 34787-2656
- **Practice address phone:** (407) 625-6135
- **Mailing address:** 718 GRISHAM ST, WINTER GARDEN, FL 34787-2656
- **Mailing address phone:** (407) 625-6135

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LA2200X | Adult Health Nurse Practitioner | 80332-2 | FL | Yes |

## Other

- **Enumeration date:** 10/10/2007
- **Last updated:** 10/25/2007