Individual
ANIEL LA ROSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
19721 NW 77TH CT, HIALEAH, FL 33015-6403
(786) 899-6309
Mailing address
19721 NW 77TH CT, HIALEAH, FL 33015-6403
(786) 899-6309
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
9497132
FL
363L00000X
Nurse Practitioner
Primary
11022202
FL
Other
Enumeration date
10/20/2022
Last updated
10/20/2022
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