Individual
DR. IRISSA WILSON ROSARIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
51 PENNSYLVANIA ST, ORLANDO, FL 32806-2937
(321) 843-3220
(321) 843-3210
Mailing address
51 PENNSYLVANIA ST, ORLANDO, FL 32806-2937
(321) 843-3220
(321) 843-3210
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME120306
FL
208M00000X
Hospitalist Physician
ME120306
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
012775500
—
FL
Enumeration date
06/03/2011
Last updated
01/12/2023
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