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Individual

DR. BRICE ALAN ROSELLI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
333 17TH ST, SUITE G, VERO BEACH, FL 32960-5670
(772) 978-0845
Mailing address
333 17TH ST, SUITE G, VERO BEACH, FL 32960-5670
(772) 978-0845

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC 3612
FL
152WC0802X
Corneal and Contact Management Optometrist
OPC 3612
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
20015A
BCBSOFFL PROVIDER #
FL
Enumeration date
06/14/2006
Last updated
01/04/2010
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