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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