Individual
DR. JUSTIN ANDREW ROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1370 13TH AVE S STE 116, JACKSONVILLE BEACH, FL 32250-3206
(904) 247-3858
Mailing address
11945 SAN JOSE BLVD STE 300, JACKSONVILLE, FL 32223-1627
(904) 396-1725
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
OS19892
FL
208600000X
Surgery Physician
OT14510
PA
Other
Enumeration date
08/02/2012
Last updated
07/05/2023
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