Individual
RANDOLPH DE LA ROSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BS
Contact information
Practice address
701 SW 27TH AVE, SUITE G20, MIAMI, FL 33135-3031
(305) 643-7800
(305) 643-1345
Mailing address
11031 NE 6TH AVE, MIAMI, FL 33161-7182
(305) 398-6100
(305) 757-4465
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
04/08/2010
Last updated
04/08/2010
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