Organization
ROSE WELLNESS CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHAD ROSE D.C. (OWNER)
(352) 775-2180
Entity
Organization
Contact information
Practice address
910 OLD CAMP RD, SUITE 92, THE VILLAGES, FL 32162-5604
(352) 775-2180
(352) 775-2930
Mailing address
910 OLD CAMP RD, SUITE 92, THE VILLAGES, FL 32162-5604
(386) 334-0133
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
CH11031
FL
208D00000X
General Practice Physician
Primary
053562
FL
225100000X
Physical Therapist
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
009SS
BCBS
FL
Enumeration date
03/26/2015
Last updated
08/30/2022
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