Individual
DR. MANUEL SILVA ROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4133 WOODLANDS PKWY, PALM HARBOR, FL 34685-3462
(727) 781-3888
(727) 784-0616
Mailing address
4133 WOODLANDS PKWY, PALM HARBOR, FL 34685-3462
(727) 781-3888
(727) 784-0616
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
ME51729
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
V2667
BCBS PROVIDER ID
FL
01
—
V2668
BCBS PROVIDER ID
FL
01
—
V2669
BCBS PROVIDER ID
FL
01
—
V3015
BCBS PROVIDER ID
FL
01
—
V3119
BCBS PROVIDER ID
FL
Enumeration date
07/20/2006
Last updated
02/28/2008
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