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Individual

DR. RAYMOND E DE LA ROSA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
8383 S TAMIAMI TRL UNIT 115, SARASOTA, FL 34238-2901
(941) 841-4206
(941) 841-4209
Mailing address
2675 WINKLER AVE FL 2, FORT MYERS, FL 33901-9342
(877) 856-3774

Taxonomy

Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
EMC0009215
MI
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
ME132402
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
30918
STATE LICENSE
KY
05
64309180
KY
Enumeration date
05/19/2006
Last updated
05/07/2026
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