Individual
RODNEY ROSELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ARNP AGACNP-BC
Contact information
Practice address
5216 CLAYTON CT, FORT MYERS, FL 33907-2116
(239) 343-8260
(239) 343-4258
Mailing address
PO BOX 2147, FORT MYERS, FL 33902-2147
(239) 343-8260
(239) 343-4258
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
ARNP9310119
FL
363LA2100X
Acute Care Nurse Practitioner
Primary
APRN9310119
FL
363LC0200X
Critical Care Medicine Nurse Practitioner
ARNP9310119
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
016263400
—
FL
01
—
4QVJS
BCBS
FL
01
—
IK260Z
MEDICARE
FL
Enumeration date
11/24/2015
Last updated
05/13/2025
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