Individual
DR. MARILIN ROSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
655 W 8TH STREET, DEPARTMENT OF PATHOLOGY, JACKSONVILLE, FL 32209
(904) 244-5326
Mailing address
PO BOX 44008, UFJP PROVIDER ENROLLMENT, JACKSONVILLE, FL 32231-4008
Taxonomy
Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
40064
KY
207ZC0500X
Cytopathology Physician
Primary
ME98521
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2814081-00
—
FL
05
—
357175204A
—
GA
Enumeration date
02/05/2007
Last updated
06/10/2009
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