Individual
JOHNNY OTIS ROSE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
818 DOVER RD, HAVANA, FL 32333-5780
(850) 321-7524
Mailing address
818 DOVER RD, HAVANA, FL 32333-5780
Taxonomy
Speciality
Code
Description
License number
State
2278C0205X
Critical Care Certified Respiratory Therapist
Primary
—
FL
Other
Enumeration date
09/04/2021
Last updated
09/04/2021
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