Individual
JOEL BERNARD ROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
6101 WEBB RD, SUITE 207, TAMPA, FL 33615-2872
(813) 882-3331
(813) 885-6209
Mailing address
PO BOX 261748, TAMPA, FL 33685-1748
(813) 882-3331
(813) 885-6209
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
OS 4694
FL
Other
Enumeration date
09/04/2006
Last updated
07/08/2007
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