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Individual

ORESTES G ROSABAL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
7100 W 20TH AVE, STE 101, HIALEAH, FL 33016-1897
(305) 822-0401
(305) 824-1748
Mailing address
7100 W 20TH AVE, STE 101, HIALEAH, FL 33016-1897
(305) 822-0401
(305) 824-1748

Taxonomy

Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
ME0038252
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
026533
NEIGHBORHOOD HEALTH
FL
01
0724570004
CIGNA
FL
01
2000978
AETNA PPO
FL
01
205083
AVMED
FL
01
2332362
AETNA HMO
FL
01
95741
BCBS
FL
Enumeration date
05/31/2005
Last updated
07/08/2007
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