Organization
ORTHOPEDIC SPECIALISTS OF S FLORIDA P A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ORESTES G ROSABAL M.D. (PRESIDENT)
(305) 822-0401
Entity
Organization
Contact information
Practice address
7100 W 20TH AVE, SUITE 101, HIALEAH, FL 33016-1897
(305) 822-0401
(305) 824-1748
Mailing address
7100 W 20TH AVE, SUITE 101, HIALEAH, FL 33016-1897
(305) 822-0401
(305) 824-1748
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
98120
GROUP MEDICARE ID NUMBER
—
Enumeration date
10/15/2005
Last updated
01/21/2010
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