Individual
DR. ANA MARISOL CONDE-ROSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
378 N BABCOCK ST, MELBOURNE, FL 32935-7344
(321) 372-5003
(321) 345-5671
Mailing address
378 N BABCOCK ST, MELBOURNE, FL 32935-7344
(321) 372-5003
(321) 345-5671
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
ME112217
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005797700
—
FL
01
—
GF926U
MEDICARE
FL
Enumeration date
11/13/2006
Last updated
11/10/2025
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