Individual
JOHN ALLEN ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN, LMT
Contact information
Practice address
2006 TOWN PLAZA CT, WINTER SPRINGS, FL 32708-6216
(407) 590-6836
(407) 695-0069
Mailing address
2006 TOWN PLAZA CT, WINTER SPRINGS, FL 32708-6216
(407) 590-6836
(407) 695-0069
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN9330688
FL
225700000X
Massage Therapist
Primary
MA56728
FL
Other
Enumeration date
04/12/2013
Last updated
04/12/2013
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