Individual
DANIEL A ROSSIGNOL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2340 DAIRY RD, WEST MELBOURNE, FL 32904-5210
(321) 259-7111
(949) 407-7652
Mailing address
2340 DAIRY RD, WEST MELBOURNE, FL 32904-5210
(321) 259-7111
(949) 407-7652
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
0101058228
VA
207Q00000X
Family Medicine Physician
Primary
C54759
CA
207Q00000X
Family Medicine Physician
ME97209
FL
Other
Enumeration date
01/04/2006
Last updated
10/11/2018
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