Individual
PAUL T ROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4425 PONCE DE LEON BLVD, SUITE 230, CORAL GABLES, FL 33146-1837
(305) 448-9100
(305) 448-1050
Mailing address
4425 PONCE DE LEON BLVD, SUITE 230, CORAL GABLES, FL 33146-1837
(305) 448-9100
(305) 448-1050
Taxonomy
Speciality
Code
Description
License number
State
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
ME36846
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09049
BCBS
FL
01
—
593094664
TAX ID
FL
Enumeration date
04/14/2006
Last updated
12/30/2015
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