Individual
ROSE HAMIDEH JAVAHERI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
110 W UNDERWOOD ST, ORLANDO, FL 32806-1139
(407) 422-3790
(407) 425-4358
Mailing address
110 W UNDERWOOD ST, ORLANDO, FL 32806-1139
(407) 422-3790
(407) 425-4358
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
APRN11018455
FL
363LF0000X
Family Nurse Practitioner
11018455
FL
363LP0200X
Pediatric Nurse Practitioner
11018455
FL
Other
Enumeration date
03/03/2022
Last updated
12/22/2023
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