Individual
DR. ROSALIE F TASSONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
7700 W SUNRISE BLVD, PLANTATION, FL 33322-4113
(720) 462-5373
Mailing address
10140 CENTURION PKWY N, PROVIDER ENROLLMENT DEPARTMENT, JACKSONVILLE, FL 32256-0532
(904) 697-4127
(904) 697-5102
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
213202
MA
207LP3000X
Pediatric Anesthesiology Physician
Primary
ME130942
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
020678800
—
FL
05
—
2004755
—
MA
Enumeration date
03/29/2006
Last updated
04/05/2021
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