Individual
DR. RICARDO J ROSADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1283 SW STATE ROAD 47, SUITE 104, LAKE CITY, FL 32025-0489
(386) 758-5985
(386) 758-5987
Mailing address
PO BOX 3009, LAKE CITY, FL 32056-3009
(386) 758-5985
(386) 758-5987
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
ME79935
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
269143400
—
FL
Enumeration date
01/25/2006
Last updated
05/14/2008
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