Individual
PAUL T ROSE
Active
Individual
PAUL T ROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
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
Update your record
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