Individual
LAUREN ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CAA
Contact information
Practice address
800 PRUDENTIAL DR, JACKSONVILLE, FL 32207-8211
(904) 202-2000
Mailing address
4825 TRAWLER CT, JACKSONVILLE, FL 32225-4038
(904) 521-7300
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
AA834
FL
367H00000X
Anesthesiologist Assistant
Primary
AA834
FL
Other
Enumeration date
08/14/2023
Last updated
08/11/2025
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