Individual
ALEXANDER TUAN ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
836 PRUDENTIAL DR, SUITE 1001, JACKSONVILLE, FL 32207-8334
(904) 398-0033
(904) 398-6774
Mailing address
11945 SAN JOSE BLVD, SUITE 300, JACKSONVILLE, FL 32223-1613
(904) 396-1725
(904) 399-1717
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
ME110614
FL
2086S0102X
Surgical Critical Care Physician
ME110614
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003112095A
—
FL
05
—
003836600
—
FL
01
—
14FK0
BCBSFL
FL
Enumeration date
06/03/2008
Last updated
02/22/2017
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