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Organization

ROSALIE A JEFFERSON, P.A.

Active
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Organization

ROSALIE A JEFFERSON, P.A.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ROSALIE JEFFERSON ARNP (PRESIDIENT)
(407) 625-0135
Entity
Organization

Contact information

Practice address
718 GRISHAM ST, WINTER GARDEN, FL 34787-2656
(407) 625-6135
Mailing address
718 GRISHAM ST, WINTER GARDEN, FL 34787-2656
(407) 625-6135

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
80332-2
FL

Other

Enumeration date
10/10/2007
Last updated
10/25/2007
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