Organization
DR. ROSIE'S PEDIATRICS
Active
Other names
Kid's Place Pediatrics, P.A.
Organization subpart
No
Provider details
NPI number
Authorized official
ROSARIO CORREA APRN (OWNER)
(772) 341-7433
Entity
Organization
Contact information
Practice address
466 SW PORT SAINT LUCIE BLVD., SUITE 116, PORT SAINT LUCIE, FL 34953-2091
(772) 341-7433
(772) 237-4622
Mailing address
466 SW PORT SAINT LUCIE BLVD., SUITE 116, PORT SAINT LUCIE, FL 34953-2091
(772) 341-7433
(772) 237-4622
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME91787
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
271863400
—
FL
01
—
U4547A
MEDICARE
FL
Enumeration date
08/06/2012
Last updated
12/22/2021
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