Individual
DR. DONALD L ROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
5501 BAYVIEW DR, FORT LAUDERDALE, FL 33308-3441
(954) 941-4388
(954) 941-4389
Mailing address
5501 BAYVIEW DR, FORT LAUDERDALE, FL 33308-3441
(954) 941-4388
(954) 941-4389
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
PY3878
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PY0003878
STATE / COUNTY
FL
Enumeration date
05/08/2006
Last updated
09/24/2024
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