Individual
WAYNE R ROSEN
Active
Individual
WAYNE R ROSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPO, CPED,PA
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
Primary
PO 00039
FL
224P00000X
Prosthetist
PO 00039
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
032584800
—
FL
Enumeration date
03/19/2008
Last updated
01/27/2009
Update your record
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