Organization
ROSE MED DIAGNOSTIC CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NILDA R ACOSTA MD (PRESIDENT)
(305) 242-1160
Entity
Organization
Contact information
Practice address
1235 N KROME AVE, SUITE R, HOMESTEAD, FL 33030-4204
(305) 242-1160
(305) 242-1161
Mailing address
1235 N KROME AVE, SUITE R, HOMESTEAD, FL 33030-4204
(305) 242-1160
(305) 242-1161
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
HCC2775
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
266069500
—
FL
Enumeration date
05/15/2007
Last updated
07/18/2008
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