Individual
ROSE THERESE LOUIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
915 NE 125TH ST, 106, NORTH MIAMI, FL 33161-5722
(305) 981-4290
(305) 981-4299
Mailing address
915 NE 125TH ST, 106, NORTH MIAMI, FL 33161-5722
(305) 981-4290
(305) 981-4299
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
693448000
—
FL
Enumeration date
07/07/2008
Last updated
07/07/2008
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