Individual
DR. ROSANNE MARIE HENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5005 PORT ST JOHN PKWY STE 2300, PORT ST JOHN, FL 32927-4305
(321) 633-8663
(321) 633-8618
Mailing address
805 CENTURY MEDICAL DR STE C, TITUSVILLE, FL 32796-2100
(321) 268-6264
(321) 268-6273
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
ME127424
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
017624200
—
FL
Enumeration date
03/28/2012
Last updated
04/20/2021
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