Organization
ROSSITER & CUMMARO ENTERPRIZE LLC
Active
Other names
RCE
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KELLY KING MD (MEDICAL DIRECTOR)
(813) 244-4741
Entity
Organization
Contact information
Practice address
170 FITZGERALD RD STE 1, LAKELAND, FL 33813-2633
(813) 754-7777
Mailing address
170 FITZGERALD RD STE 1, LAKELAND, FL 33813-2633
Taxonomy
Speciality
Code
Description
License number
State
170300000X
Genetic Counselor (M.S.)
—
—
207SG0201X
Clinical Genetics (M.D.) Physician
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
08/21/2019
Last updated
06/27/2022
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