Individual
JORGE ANTONIO ROSSELLO JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2430 CENTERGATE DR, #107, MIRAMAR, FL 33025-7213
(954) 432-5559
Mailing address
2430 CENTERGATE DR, #107, MIRAMAR, FL 33025-7213
(954) 432-5559
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
DO4931
FL
Other
Enumeration date
04/02/2007
Last updated
07/09/2007
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