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Individual

BEATRIZ ROSE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
AGACNP-BC

Contact information

Practice address
18480 COCHRAN BLVD, PORT CHARLOTTE, FL 33948-3379
(872) 231-3162
(702) 977-1496
Mailing address
PO BOX 7410884, CHICAGO, IL 60674-0884
(702) 899-0595
(702) 977-1496

Taxonomy

Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
APRN11001079
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
102356300
FL
Enumeration date
02/05/2019
Last updated
10/08/2025
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