Individual
DR. PETER LEONARD ROSE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10000 W COLONIAL DR, OCOEE, FL 34761-3498
(407) 667-0444
(407) 667-4338
Mailing address
1901 ULMERTON RD STE 485, CLEARWATER, FL 33762-2312
(503) 309-8968
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
ME47393
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
26454
BCBS
FL
05
—
376930500
—
FL
Enumeration date
06/27/2006
Last updated
05/08/2019
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