Individual
ROSE ROBERTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6412 N UNIVERSITY DR, SUITE #114, TAMARAC, FL 33321-4055
(954) 726-6722
(954) 726-6723
Mailing address
4645 NW 90TH AVE, SUNRISE, FL 33351-5387
(754) 273-0452
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
CNA 70425
FL
Other
Enumeration date
06/29/2010
Last updated
06/29/2010
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